MARY RILEY
NPI 1649722562
Nurse Practitioner - Pediatrics in Roanoke, VA

Q: What is Mary Riley's NPI number?

The NPI number for Mary Riley is 1649722562. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Q: What is Mary Riley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Riley was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 26, 2016PECOS Enrolled

4348 ELECTRIC RD, ROANOKE, VA 24018(540) 769-0976(540) 857-5386 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2021, May 10, 2018, Oct 26, 2016 (3 updates tracked since 2016).

On this page

About Mary Riley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY RILEY (NPI 1649722562) is an individual pediatrics provider in Roanoke, Virginia, licensed in Virginia (0024175894) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649722562

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARY RILEY

Location Address4348 ELECTRIC RDRoanoke, VA 24018-0720

Mailing Address1030 S Jefferson St Ste 201Roanoke, VA 24016-4418 · (540) 224-4520 · Fax (540) 342-1649

Phone(540) 769-0976

Fax(540) 857-5386

Sole ProprietorNo

Enumeration DateOctober 26, 2016

Last NPPES UpdateNovember 5, 20213 updates tracked since enumeration

NPPES CertifiedNovember 5, 2021

✔ NPI 1649722562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in VA · 0024175894✔ Licensed in MD · R218970

4348 ELECTRIC RD, Roanoke, VA 24018

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Riley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON ENSOR DUNN MD

Pediatrics