RILEY ODOM (NP-C) – Critical Care Medicine Nurse Practitioner, NPI 1437659190

RILEY ODOM (NP-C) is a healthcare provider. based in Saint paul, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 5737 (MN). The NPI Number for RILEY ODOM (NP-C) is 1437659190

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
RILEY ODOM (NP-C)
NPI
1437659190
Phone
(651) 232-2000
Address
559 CAPITOL BLVD
Enumeration Date
19 February 2018
Last Update Date
22 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512323000
Graduation Year
2017 (9 years ago)
PAC ID
1850654641
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20180409001188
Address ID
MN551021062SA45XXXWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for RILEY ODOM (NP-C)

  • 559 CAPITOL BLVD

    SAINT PAUL, MN 551032101

    Phone: (651) 232-2000

    Type: Location

  • Taft St Ne, East Hennepin Avenue, Minneapolis, Hennepin County, Minnesota, 55413, United States

    MINNEAPOLIS, MN 554184132

    Phone:

    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: 2018-04-09

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
I20180409001188INurse PractitionerMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18321$0
94003Follow-up inpatient or observation ventilation assistance and management14214$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 55103)

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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: 3971407636View full group profile

Reviews

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Frequently asked questions

Can I cross-check RILEY ODOM (NP-C) using NPI 1437659190?
NPI 1437659190 belongs to RILEY ODOM (NP-C); compare other details if you need extra assurance.
Is there an active status for RILEY ODOM (NP-C)?
For scheduling context, RILEY ODOM (NP-C) is shown as active in the registry.
What expertise is attributed to RILEY ODOM (NP-C)?
RILEY ODOM (NP-C)'s specialty line reads Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Minnesota is RILEY ODOM (NP-C) registered?
Use Saint Paul, Minnesota as the headline location for RILEY ODOM (NP-C) here.
Can I trust this NPI listing for RILEY ODOM (NP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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