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RILEY HACKLEY PA-C
NPI 1922825009
Physician Assistant in Lebanon, OR

Active since September 20, 2024PECOS EnrolledAccepts Medicare Assignment
425 N SANTIAM HWY, LEBANON, OR 97355(541) 451-6960 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riley Hackley Pa-c NPPES

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

RILEY HACKLEY PA-C (NPI 1922825009) is an individual physician assistant in Lebanon, Oregon, licensed in Oregon (PA222009) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922825009
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRILEY HACKLEYCredential: PA-C
Location Address425 N SANTIAM HWYLebanon, OR 97355-4361
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Phone(541) 451-6960
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 20, 2024
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1922825009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA222009
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License PA222009 (OR)
425 N SANTIAM HWY, Lebanon, OR 97355
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Riley Hackley Pa-c 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 ID5991238289
PECOS Enrollment IDI20241024003151
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380014
Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County
Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380022
Location1046 6th Avenue SWAlbany, OR 97321 · Linn County
Emergency services Birthing friendly

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381323
Location525 N Santiam HighwayLebanon, OR 97355 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97355 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
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 19

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

HEIDI LEE BLAIR ARNP
Nurse Practitioner (Family)
425 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-6960
GINA ANN MILLER M.D.
Family Medicine
425 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-6960
MID-VALLEY HEALTHCARE, INC.
Urology
425 N SANTIAM HWY, SUITE 2A
LEBANON, OR 97355
Linn County (541) 812-5820
MR. CHRISTOPHER D. FREEMAN PA
Physician Assistant
425 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-6960
DR. MARYLOU L. BELOZER M.D.
Family Medicine
425 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-7800
KRYSTAL LYN PLOTTS MD
Family Medicine
425 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-7800
MRS. LEA S BURNS PSYD
Psychologist
425 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-6960
DANNI EWING PSYD
Psychologist (Clinical)
425 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-6960

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 Hackley's NPI number?

The NPI number for Riley Hackley is 1922825009. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Riley Hackley located?

Riley Hackley practices at 425 N Santiam Hwy, Lebanon, OR 97355. The listed phone number is (541) 451-6960.

What is Riley Hackley's specialty?

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

Is Riley Hackley enrolled in Medicare?

Yes. Riley Hackley 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.

What insurance does Riley Hackley accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Riley Hackley 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 Riley Hackley affiliated with any hospitals?

According to CMS data, Riley Hackley is affiliated with Good Samaritan Regional Medical Center, Samaritan Albany General Hospital and Samaritan Lebanon Community Hospital.

When was this NPI record last updated?

The NPPES record for Riley Hackley was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.