MRS. SHAUNDRA RILEY (WHNP-BC, FNP-BC,ENP) – Nurse Practitioner, NPI 1295157634
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MRS. SHAUNDRA RILEY (WHNP-BC, FNP-BC,ENP)
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 554355435
Phone: (925) 767-4574
Type: Mailing
1407 CROSS CREEK DR
RAYMORE, MO 640839671
Phone: (816) 591-1822
Type: Mailing
1215 W FOXWOOD DR
RAYMORE, MO 640838301
Phone: (816) 318-8022
Type: Location
1650 4th St SE
Rochester, MN 559044717
Phone: (507) 529-6600
Type: Location
111 17th Ave E
Alexandria, MN 563085273
Phone: (320) 763-5123
Type: Location
1000 1ST DR NW
AUSTIN, MN 559122941
Phone: (507) 433-8735
Type: Mailing
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: 2022-04-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190606002831 | I | Nurse Practitioner | KS | TBD |
| I20220422001345 | I | Nurse Practitioner | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 182 | 179 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 134 | 132 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 29 | 29 | $0 |
Insurance plans in this area (ZIP 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| P A T H O L O G Y | MN | |
| Physical Therapist In Private Practice | MN |
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