MS. RILEY JOHNSON FNP
NPI 1821954454
Nurse Practitioner - Family in Bend, OR

Active since December 29, 2025PECOS EnrolledAccepts Medicare Assignment
56451 CELESTIAL DR, BEND, OR 97707(916) 607-0740 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Dec 29, 2025 (2 updates tracked since 2025).

About Ms. Riley Johnson Fnp NPPES

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

MS. RILEY JOHNSON FNP (NPI 1821954454) is an individual family provider in Bend, Oregon, licensed in Oregon (10008876) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redmond, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821954454
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. RILEY JOHNSONCredential: FNP
Location Address56451 CELESTIAL DRBend, OR 97707-2007
Mailing Address56451 Celestial DrBend, OR 97707-2007 · (916) 607-0740
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 29, 2025
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1821954454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10008876
56451 CELESTIAL DR, Bend, OR 97707

Secondary Practice Location 1

Location 11555 S Highway 97Redmond, OR 97756-9652 · Phone (541) 204-4304 · Fax (541) 640-7419

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Riley Johnson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709342074
PECOS Enrollment IDI20260727003758
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.

Medicare Billing Reassignment

Medicare enrollment records show Riley Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
35859 HIGHWAY 58
Pleasant Hill, OR 97455
  • Reassigned Medicare billing, Oregon enrollment
  • 190 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97707 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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 Riley Johnson's NPI number?

The NPI number for Riley Johnson is 1821954454. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Riley Johnson located?

Riley Johnson practices at 56451 Celestial Dr, Bend, OR 97707. The listed phone number is (916) 607-0740.

What is Riley Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Riley Johnson enrolled in Medicare?

Yes. Riley Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Riley Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley Johnson reassigns Medicare benefits to Icco LLC (Pleasant Hill, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Riley Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Riley Johnson was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.