DR. CORY RILEY (DNP-CRNA) – Certified Registered Nurse Anesthetist, NPI 1922731199

DR. CORY RILEY (DNP-CRNA) is a healthcare provider. based in Jackson, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP-CRNA. They hold a License No. 0000226738 (TN). The NPI Number for DR. CORY RILEY (DNP-CRNA) is 1922731199

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORY RILEY (DNP-CRNA)
NPI
1922731199
Phone
(731) 571-5889
Address
39 BRANCH CREEK DR
Enumeration Date
6 July 2022
Last Update Date
13 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7312212200
Graduation Year
2022 (4 years ago)
PAC ID
4880061662
Group Practice PAC ID
9830505023
Professional Enrollment ID
I20221108001605
Address ID
TN380635577RI340XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for DR. CORY RILEY (DNP-CRNA)

  • 39 BRANCH CREEK DR

    JACKSON, TN 383058590

    Phone: (731) 571-5889

    Mailing address matches the actual address.

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: 2022-11-08

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
I20221108001605ICertified Registered Nurse Anesthetist (Crna)TNTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3636$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3434$0
00910Anesthesia for other procedure on urinary system through urethra2221$0
00812Anesthesia for exam of colon using an endoscope2020$0
00813Anesthesia for procedure on small and large bowel using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 38305)

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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: 9830505023View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
General SurgeryTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
General SurgeryTN
Emergency MedicineFL
Internal MedicineTN
Emergency MedicineFL
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Is there an official ID for DR. CORY RILEY (DNP-CRNA) in U.S. healthcare records?
The official identifier for DR. CORY RILEY (DNP-CRNA) is NPI 1922731199.
Is DR. CORY RILEY (DNP-CRNA) still an active registrant?
DR. CORY RILEY (DNP-CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to DR. CORY RILEY (DNP-CRNA)?
DR. CORY RILEY (DNP-CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is DR. CORY RILEY (DNP-CRNA) associated with Jackson?
Public fields place DR. CORY RILEY (DNP-CRNA) around Jackson, Tennessee. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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