LAUREN PAIGE RILEY NP
NPI 1851974802
Nurse Practitioner - Family in Red Oak, IA
About Lauren Paige Riley Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN PAIGE RILEY NP (NPI 1851974802) is an individual family provider in Red Oak, Iowa, licensed in Iowa (A162723) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Lauren Paige Riley Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lauren Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Oak, IA 51566
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1265405310 (Iowa)
- 67 clinicians in this Medicare group
Council Bluffs, IA 51503
- Reassigned Medicare billing, Iowa enrollment
- 64 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Jennie Edmundson
Acute Care Hospitals · Council Bluffs, IAMontgomery County Memorial Hospital
Critical Access Hospitals · Red Oak, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 51566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Lauren Riley's NPI number?
The NPI number for Lauren Riley is 1851974802. It was assigned to this individual provider in the NPPES registry on April 28, 2021.
Where is Lauren Riley located?
Lauren Riley practices at 2301 Eastern Ave, Red Oak, IA 51566. The listed phone number is (712) 623-7000.
What is Lauren Riley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lauren Riley enrolled in Medicare?
Yes. Lauren Riley 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 organizations bill Medicare for Lauren Riley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Riley reassigns Medicare benefits to 2 organizations: Montgomery County Memorial Hospital (Red Oak, IA) and Jennie Edmundson Memorial Hospital (Council Bluffs, IA). Each 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 Lauren Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lauren Riley accept?
Health plans from UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Lauren Riley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lauren Riley affiliated with any hospitals?
According to CMS data, Lauren Riley is affiliated with Methodist Jennie Edmundson and Montgomery County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Lauren Riley was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lauren Paige Riley, NP · NPI 1851974802
Family physician in Red Oak, Iowa. Individual provider, active in the CMS NPPES registry since April 28, 2021.
## Identity
- **NPI:** 1851974802 (Entity type: Individual)
- **Enumerated:** April 28, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** A162723 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 EASTERN AVE, Red Oak, IA 51566-1305
- **Phone:** (712) 623-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Montgomery County Memorial Hospital (NPI 1376539338, Red Oak, IA); Jennie Edmundson Memorial Hospital (NPI 1942251269, Council Bluffs, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1851974802) · Data from the CMS NPPES public registry.