MS. NOELLE KLAWON RIESEN – Nurse Practitioner, NPI 1386256485

MS. NOELLE KLAWON RIESEN is a healthcare provider. based in Eglin afb, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11005813 (FL). The NPI Number for MS. NOELLE KLAWON RIESEN is 1386256485

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. NOELLE KLAWON RIESEN
NPI
1386256485
Phone
Not provided
Address
2937 AZALEA DR
Enumeration Date
19 August 2020
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
5597172189
Group Practice PAC ID
4082625827
Professional Enrollment ID
I20210326001279
Address ID
FL329485463FE12196CRXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. NOELLE KLAWON RIESEN

  • 2937 AZALEA DR

    EGLIN AFB, FL 325423234

    Phone:

    Type: Mailing

  • 362 STATE HIGHWAY 83

    DEFUNIAK SPRINGS, FL 324333800

    Phone: (850) 401-6289

    Type: Location

  • 1555 INDIAN RIVER BLVD STE B210

    VERO BEACH, FL 329607113

    Phone: (772) 257-8224

    Fax: (772) 252-3245

    Type: Mailing

  • 12196 COUNTY ROAD 512

    FELLSMERE, FL 329485463

    Phone: (772) 257-8224

    Fax: (772) 252-3245

    Type: Location

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (321) 312-3457

    Type: Mailing

  • 1223 GATEWAY DR STE 1C

    MELBOURNE, FL 329012607

    Phone: (321) 312-3457

    Fax: (321) 674-9196

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).

Total Amount

$47

General + Research + Ownership

Payments

3

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210326001279INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9377$0
87804Detection test by immunoassay with direct visual observation for influenza virus5426$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4341$0
99214Established patient office or other outpatient visit, 30-39 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 32542)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082625827View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Nurse PractitionerOH
Nurse PractitionerFL
Clinical Social WorkerMA
-FL
-FL
Nurse PractitionerFL
Family PracticeFL
Geriatric Medicine, Family PracticeFL

Reviews

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Frequently asked questions

How is MS. NOELLE KLAWON RIESEN identified in CMS data?
CMS-hosted NPPES data lists MS. NOELLE KLAWON RIESEN with NPI 1386256485.
Is MS. NOELLE KLAWON RIESEN listed as active for patients and plans?
The listing shows MS. NOELLE KLAWON RIESEN as active in the NPI system.
What is MS. NOELLE KLAWON RIESEN best known for clinically?
Directory data describes MS. NOELLE KLAWON RIESEN with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. NOELLE KLAWON RIESEN based?
MS. NOELLE KLAWON RIESEN is tied to Eglin Afb, Florida in the data we show; additional addresses may exist on the full record.
Is the information about MS. NOELLE KLAWON RIESEN up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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