MRS. KELLY ANN BEATON RILEY NP
NPI 1679840722
Nurse Practitioner - Family in Ithaca, NY
About Mrs. Kelly Ann Beaton Riley Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY ANN BEATON RILEY NP (NPI 1679840722) is an individual family provider in Ithaca, New York, licensed in New York (F344651-01) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Ann Beaton Riley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14853 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Beaton Riley's NPI number?
The NPI number for Kelly Beaton Riley is 1679840722. It was assigned to this individual provider in the NPPES registry on November 17, 2011.
Where is Kelly Beaton Riley located?
Kelly Beaton Riley practices at 110 Ho Plz, Ithaca, NY 14853. The listed phone number is (607) 255-5155.
What is Kelly Beaton Riley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Beaton Riley enrolled in Medicare?
Yes. Kelly Beaton Riley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Beaton Riley was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.
# Mrs. Kelly Ann Beaton Riley, NP · NPI 1679840722
Family physician in Ithaca, New York. Individual provider, active in the CMS NPPES registry since November 17, 2011.
## Identity
- **NPI:** 1679840722 (Entity type: Individual)
- **Enumerated:** November 17, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F344651-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 HO PLZ, Ithaca, NY 14853-3102
- **Phone:** (607) 255-5155
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679840722) · Data from the CMS NPPES public registry.