KATHLEEN MARIE RIORDAN (FNP) – Family Nurse Practitioner, NPI 1033984554
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for KATHLEEN MARIE RIORDAN (FNP)
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 974716214
Phone: (541) 677-7200
Fax: (541) 229-3309
Type: Mailing
249 DAKOTA ST
SUTHERLIN, OR 974799908
Phone: (541) 677-7200
Fax: (541) 229-3309
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $968.
Total Amount is formed as General ($968) + Research ($0) + Ownership ($0) = $968.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: PFIZER INC. ($190).
Total Amount
$968
General + Research + Ownership
Payments
53
Total payment records
General Amount
$968
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $190 |
| EMD Serono, Inc. | $90 |
| ARGENX US, INC. | $88 |
| Takeda Pharmaceuticals U.S.A., Inc. | $78 |
| Alexion Pharmaceuticals, Inc. | $70 |
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: 2024-11-26
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 |
|---|---|---|---|---|
| I20240212002336 | I | Nurse Practitioner | UT | TBD |
| I20241126002171 | I | Nurse Practitioner | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97471)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Family Practice | OR | |
| Family Practice | OR | |
| Physician Assistant | OR | |
| Internal Medicine, Pediatric Medicine, Endocrinology | OR | |
| Physician Assistant | OR | |
| Hospitalist, Internal Medicine, Internal Medicine, Hospitalist | OR | |
| Mental Health Counselor | OR | |
| Nurse Practitioner | OR | |
| Family Practice | OR |
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