RILEY QUAKENBUSH PA - NPI 1689411076 - Physician Assistant in Lafayette, IN

Q: What is Riley Quakenbush's NPI number?

The NPI number for Riley Quakenbush is 1689411076. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Q: What is Riley Quakenbush's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Riley Quakenbush was last updated on September 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Riley Quakenbush Pa NPPES

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

RILEY QUAKENBUSH PA (NPI 1689411076) is an individual physician assistant in Lafayette, Indiana, licensed in Indiana (10005020A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689411076

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameRILEY QUAKENBUSHCredential: PA

Location Address1411 S CREASY LN STE 120Lafayette, IN 47905-7433

Mailing Address8450 Northwest BlvdIndianapolis, IN 46278-1381 · (317) 802-2000 · Fax (317) 802-2170

Phone(765) 447-4165

Fax(765) 446-5317

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 11, 2024

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1689411076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10005020A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1411 S CREASY LN STE 120, Lafayette, IN 47905

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8628575107

PECOS Enrollment IDI20251009003190

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 47905 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 10

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

TAYLOR WEISHAAR CST

Specialist/Technologist, Other (Surgical Technologist)