ALICIA RILEY (PA-C) – Physician Assistant, NPI 1255899456
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for ALICIA RILEY (PA-C)
2630 GRANT LINE RD
NEW ALBANY, IN 471504053
Phone: (502) 888-1988
Fax: (812) 944-3594
Type: Location
ONE GI CREDENTIALING DEPARTMENT
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
520, West 96th Street, Carmel, Hamilton County, Indiana, 46260, United States
INDIANAPOLIS, IN 462601316
Phone:
Type: Mailing
Harcourt Road, Holida, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 462602053
Phone: (317) 338-9450
Type: Location
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
8402 HARCOURT RD STE 402
INDIANAPOLIS, IN 462602053
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $360.
Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($232).
Total Amount
$360
General + Research + Ownership
Payments
10
Total payment records
General Amount
$360
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-03-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190319001799 | I | Physician Assistant | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47150)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | KY | |
| P A T H O L O G Y | IN | |
| G A S T R O E N T E R O L O G Y | TN | |
| Gastroenterology, Internal Medicine | TN | |
| Internal Medicine | KY | |
| Gastroenterology, Internal Medicine | TN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| G A S T R O E N T E R O L O G Y | KY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.