NICOLE RILEY (P.A., C.) – Physician Assistant, NPI 1730129974

NICOLE RILEY (P.A., C.) is a healthcare provider. based in Marlton, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A., C.. They hold a License No. MP799 (NJ). The NPI Number for NICOLE RILEY (P.A., C.) is 1730129974

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE RILEY (P.A., C.)
NPI
1730129974
Phone
(609) 267-9400
Address
4 EVES DR # A
Enumeration Date
7 June 2006
Last Update Date
10 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
3274727995
Group Practice PAC ID
9830222397
Professional Enrollment ID
I20101027000165
Address ID
NJ085054517BO3242X206X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for NICOLE RILEY (P.A., C.)

  • 4 EVES DR # A

    SUITE 100

    MARLTON, NJ 080533195

    Phone: (609) 267-9400

    Fax: (609) 267-9457

    Type: Mailing

  • Virtua Health & Wellness Center - Moorestown, 401, Young Avenue, Centerton Square, Moorestown, Moorestown Township, Burlington County, New Jersey, 08057, United States

    SUITE 245

    MOORESTOWN, NJ 080573130

    Phone: (609) 267-9400

    Fax: (609) 267-9457

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-10-27

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
I20101027000165IPhysician AssistantNJTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg42277$0
99213Established patient office or other outpatient visit, 20-29 minutes154132$0
20610Aspiration and/or injection of fluid from large joint132102$0
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose5825$0
73564X-ray of knee, 4 or more views5543$0
View full utilization report →

Insurance plans in this area (ZIP 08053)

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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: 9830222397View full group profile

Reviews

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Frequently asked questions

What NPI should I save for NICOLE RILEY (P.A., C.)?
Save NPI 1730129974 if you need a stable reference for NICOLE RILEY (P.A., C.).
Is NICOLE RILEY (P.A., C.) active in the national directory?
NICOLE RILEY (P.A., C.)'s public NPI profile is in an active state.
Does NICOLE RILEY (P.A., C.) list a primary specialty?
If you are matching referrals, note Physician Assistant for NICOLE RILEY (P.A., C.). Clinical services aligned with this taxonomy classification.
What location shows for NICOLE RILEY (P.A., C.)?
We surface Marlton, New Jersey for NICOLE RILEY (P.A., C.) based on available NPPES addresses.
Is NICOLE RILEY (P.A., C.) a real provider?
This page reflects official NPPES data for NPI 1730129974. Always confirm identity and privileges with the practice and licensing boards.

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