Mrs Shaundra Riley, WHNP-BC, FNP-BC,ENP - Medicare Nurse Practitioner in Bloomington, MN

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Mrs Shaundra Riley, WHNP-BC, FNP-BC,ENP is a medicare enrolled "Nurse Practitioner" in Bloomington, Minnesota. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Memorial Health Care, Olmsted Medical Center and her current practice location is 4300 Market Pte Dr Ste 100, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (925) 767-4574.

Mrs Shaundra Riley is licensed to practice in Minnesota (license number 6711) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295157634.

Contact Information

Mrs Shaundra Riley, WHNP-BC, FNP-BC,ENP
4300 Market Pte Dr Ste 100,
Bloomington, MN 55435-5435
(925) 767-4574
Not Available

Map and Direction




Provider's Profile

Full NameMrs Shaundra Riley
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location4300 Market Pte Dr Ste 100, Bloomington, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shaundra Riley graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1295157634
  • Provider Enumeration Date: 01/18/2014
  • Last Update Date: 06/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143453225
  • Enrollment ID: I20220422001345

Medical Identifiers

Medical identifiers for Mrs Shaundra Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295157634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2016036656 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 53-76188-122 (Kansas)Secondary
363LW0102XNurse Practitioner - Women's Health 2013034497 (Missouri)Secondary
363LW0102XNurse Practitioner - Women's Health 53-76188-122 (Kansas)Secondary
363L00000XNurse Practitioner 6711 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Olmsted Medical CenterRochester, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Memorial Health Care0042123028469
Olmsted Medical Center8527970060304

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shaundra Riley allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic Health System-lake City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164463659
PECOS PAC ID: 1951213487
Enrollment ID: O20031104000095
Entity NameMayo Clinic Health System-southeast Minnesota Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891701637
PECOS PAC ID: 4385556703
Enrollment ID: O20031104000408
Entity NameEmergency Physicians Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801871934
PECOS PAC ID: 9537072657
Enrollment ID: O20031106000068
Entity NameOlmsted Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952356297
PECOS PAC ID: 8527970060
Enrollment ID: O20031119000240
Entity NameNorth Memorial Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470
Entity NameMayo Clinic Health System-lake City
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538113022
PECOS PAC ID: 1951213487
Enrollment ID: O20070711000490
Entity NameMayo Clinic Health System-southeast Minnesota Region
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1063435410
PECOS PAC ID: 4385556703
Enrollment ID: O20171011003946
Entity NameAvera Granite Falls
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700429610
PECOS PAC ID: 1456784560
Enrollment ID: O20191204000103
Entity NameAvera Granite Falls
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700429644
PECOS PAC ID: 1456784560
Enrollment ID: O20200106000646
Entity NameDispatchhealth-arizona
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578343497
PECOS PAC ID: 7810268422
Enrollment ID: O20231211001835

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shaundra Riley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shaundra Riley, WHNP-BC, FNP-BC,ENP
4300 Market Pte Dr Ste 100,
Bloomington, MN 55435-5435

Ph: (925) 767-4574		Mrs Shaundra Riley, WHNP-BC, FNP-BC,ENP
4300 Market Pte Dr Ste 100,
Bloomington, MN 55435-5435

Ph: (925) 767-4574

Reviews and Comments


Nurse Practitioner Nurses in Bloomington, MN

Mr. Donald Michael Dunow, MSN FNP-C CNP APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8936 Lyndale Ave S, Bloomington, MN 55420
Phone: 866-389-2727    
James Tutu Fiske I, DNP/PMHNP
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Practice Location: 3601 Minnesota Dr Ste 170, Bloomington, MN 55435
Phone: 844-994-3631    
Mabel A Rohr, NP
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Practice Location: 8170 33rd Avenue South, Ms 26602g, Bloomington, MN 55425
Phone: 952-883-6805    Fax: 952-883-6117
Ann M Rechtzigel, RN, MA, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 3601 Minnesota Dr Ste 200, Bloomington, MN 55435
Phone: 612-879-1000    Fax: 612-879-9116
Joan C Barnett, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 8101 34th Ave S, Mc26602g, Bloomington, MN 55425
Phone: 952-883-6805    Fax: 952-883-6117
David Wells, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8100 Northland Dr., Bloomington, MN 55431
Phone: 952-831-8742    
Kimberly C Bourassa, DNP, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1801 American Blvd E, Bloomington, MN 55425
Phone: 952-767-2267    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.