MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC) – Critical Care Pediatric Nurse Practitioner, NPI 1194190512

MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN, CPNP-AC. They hold a License No. 4704186687 (MI). The NPI Number for MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC) is 1194190512

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC)
NPI
1194190512
Phone
(313) 966-5051
Address
4201 ST. ANTOINE UHC 5D MAILBOX# 226
Enumeration Date
10 December 2015
Last Update Date
6 January 2016

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3137455870
Graduation Year
2015 (11 years ago)
PAC ID
4688972367
Group Practice PAC ID
9638070568
Professional Enrollment ID
I20160413000804
Address ID
MI482012119DE3901XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC)

  • 4201 ST. ANTOINE UHC 5D MAILBOX# 226

    UNIVERSITY PEDIATRICIANS

    DETROIT, MI 482012119

    Phone: (313) 966-5051

    Fax: (313) 966-0665

    Type: Mailing

  • 3901 BEAUBIEN

    CHILDRE4N'S HOSPITAL OF MI

    DETROIT, MI 482012119

    Phone: (313) 745-5515

    Fax: (313) 745-5237

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-04-13

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
I20160413000804INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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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: 9638070568View full group profile
NameSpecialtyState
Pediatric MedicineMI
Pediatric MedicineMI
Pediatric MedicineOH
Pediatric MedicineMI
Pediatric MedicineMI
Nurse PractitionerMI
-MI
Nephrology, Pediatric MedicineMI
-MI
Pediatric MedicineTN

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC)'s NPI?
Yes. MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC) is listed with NPI 1194190512 in the public NPI dataset.
Can I rely on MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC) being an active provider?
As of the registry snapshot, MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC) is marked active.
What is MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC) best known for clinically?
Directory data describes MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC) with Critical Care Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC) serve?
MRS. COLLEEN ELIZABETH RIECK (MSN, RN, CPNP-AC)'s listing highlights Detroit, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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