MARY KATHRYN RILEY RN, FNP
NPI 1861166191
Nurse Practitioner in Jackson, TN

Q: What is Mary Riley's NPI number?

The NPI number for Mary Riley is 1861166191. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Q: What is Mary Riley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Riley was last updated on September 3, 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 August 02, 2021PECOS Enrolled

1022 GREYSTONE SQ, JACKSON, TN 38305(731) 300-2001(731) 240-8095 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mary Kathryn Riley Rn, Fnp NPPES

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

MARY KATHRYN RILEY RN, FNP (NPI 1861166191) is an individual nurse practitioner in Jackson, Tennessee, licensed in Tennessee (30228) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861166191

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY KATHRYN RILEYCredential: RN, FNP

Location Address1022 GREYSTONE SQJackson, TN 38305-3580

Mailing Address371 N Parkway Ste 400Jackson, TN 38305-2891 · (731) 664-0002 · Fax (731) 664-7859

Phone(731) 300-2001

Fax(731) 240-8095

Sole ProprietorYes

Enumeration DateAugust 2, 2021

Last NPPES UpdateSeptember 3, 2021

NPPES CertifiedSeptember 3, 2021

✔ NPI 1861166191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 30228

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 188898 (TN)

1022 GREYSTONE SQ, Jackson, TN 38305

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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 Kathryn Riley Rn, Fnp 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 38305 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 5

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

FAMILY MEDICAL CLINIC OF TREZEVANT

Clinic/Center (Primary Care)