Individual provider

Mary Riley

Pediatric Nurse Practitioner Medicare enrolled

Mary Riley is a Pediatric Nurse Practitioner in Roanoke, VA, registered under NPI 1649722562.

Getting there

The practice address on file is 4348 ELECTRIC RD, Roanoke, VA 24018. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4348 ELECTRIC RD, Roanoke, VA 24018 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
R218970 MD Pediatric Nurse Practitioner
0024175894 VA Pediatric Nurse Practitioner primary

Licences are recorded in 2 states: MD, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
1557624293
Enrollment ID
I20180411002301

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Maryland and Virginia. The practice address on file is in Roanoke, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MD Maryland
Licence
R218970
Specialty
Pediatric Nurse Practitioner
Verify with the MD board →
VA Virginia practice address
Licence
0024175894
Specialty
Pediatric Nurse Practitioner
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatrics covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0200X Pediatric Nurse Practitioner Pediatrics R218970 MD
363LP0200X Pediatric Nurse Practitioner Pediatrics 0024175894 VA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1649722562 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 26, 2016
Last updatedNov 5, 2021
StatusActive
Sole proprietorNo
GenderFemale
Practice address 4348 ELECTRIC RD
Roanoke, VA 24018
(540) 769-0976
Fax (540) 857-5386
Mailing address 1030 S JEFFERSON ST STE 201
Roanoke, VA 24016
The last update on file is Nov 5, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1649722562 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 4 9 7 2 2 5 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 8 9 5 2 4 5 3

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1649722562?
NPI 1649722562 is the National Provider Identifier assigned to Mary Riley in Roanoke, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatrics cover?
Definition to come...
How do I contact Mary Riley?
The phone number on file with NPPES is (540) 769-0976, last updated Nov 5, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mary Riley accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1649722562 a valid number?
Yes. 1649722562 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.