KRISTIN RILEY (PA-C) – Physician Assistant, NPI 1336667732

KRISTIN RILEY (PA-C) is a healthcare provider. based in Port huron, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008368 (MI). The NPI Number for KRISTIN RILEY (PA-C) is 1336667732

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN RILEY (PA-C)
NPI
1336667732
Phone
(810) 989-3300
Address
1221 Pine Grove Ave
Enumeration Date
6 September 2017
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897323284
Graduation Year
2017 (9 years ago)
PAC ID
9537433636
Group Practice PAC ID
3173565850
Professional Enrollment ID
I20170927002511
Address ID
MI497358489GA1951XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for KRISTIN RILEY (PA-C)

  • 1221 Pine Grove Ave

    Port Huron, MI 480603511

    Phone: (810) 989-3300

    Fax: (810) 985-2671

    Type: Location

  • 5826, Dixie Highway, Waterford, Waterford Township, Oakland County, Michigan, 48329, United States

    WATERFORD, MI 483291525

    Phone: (248) 383-8770

    Type: Mailing

  • 2147 PROFESSIONAL DR

    GAYLORD, MI 497350003

    Phone: (989) 732-1753

    Type: Mailing

  • Mclaren Lapeer Region, 1375, North Main Street, Lapeer, Mayfield Township, Lapeer County, Michigan, 48446, United States

    LAPEER, MI 484461350

    Phone: (810) 667-5204

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $575.

Total Amount is formed as General ($575) + Research ($0) + Ownership ($0) = $575.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($215).

Total Amount

$575

General + Research + Ownership

Payments

28

Total payment records

General Amount

$575

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2017-09-27

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
I20170927002511IPhysician AssistantMITBD

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
20610Aspiration and/or injection of fluid from large joint5838$0
99213Established patient office or other outpatient visit, 20-29 minutes4337$0
73564X-ray of knee, 4 or more views4236$0
J1030Injection, methylprednisolone acetate, 40 mg4128$0
99212Established patient office or other outpatient visit, 10-19 minutes4036$0
View full utilization report →

Insurance plans in this area (ZIP 48060)

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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: 3173565850View full group profile
NameSpecialtyState
Physician AssistantMI
Internal Medicine, Pediatric MedicineMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What number should I use to identify KRISTIN RILEY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1336667732 for KRISTIN RILEY (PA-C).
Quick check: is KRISTIN RILEY (PA-C) active?
Public NPPES data shows KRISTIN RILEY (PA-C) with an active NPI status right now.
How should patients interpret KRISTIN RILEY (PA-C)'s specialty?
The extract shows Physician Assistant for KRISTIN RILEY (PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to KRISTIN RILEY (PA-C)?
The directory associates KRISTIN RILEY (PA-C) with Port Huron, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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