Carol Declue Riley, CRNP - Medicare Nurse Practitioner in Lutherville, MD

Carol Declue Riley, CRNP is a medicare enrolled "Nurse Practitioner" in Lutherville, Maryland. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Johns Hopkins University and her current practice location is 10755 Falls Rd, Lutherville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 583-2970.

Carol Declue Riley is licensed to practice in Maryland (license number R095449) 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 1467494369.

Contact Information

Carol Declue Riley, CRNP
10755 Falls Rd,
Lutherville, MD 21093-4515
(410) 583-2970
Not Available

Map and Direction




Provider's Profile

Full NameCarol Declue Riley
GenderFemale
SpecialityNurse Practitioner
Experience26 Years
Location10755 Falls Rd, Lutherville, Maryland
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:
  • Carol Declue Riley graduated from nursing school in 1998
  NPI Data:
  • NPI Number: 1467494369
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0840248860
  • Enrollment ID: I20050106000541

Medical Identifiers

Medical identifiers for Carol Declue Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467494369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R095449 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johns Hopkins Hospital, TheBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Johns Hopkins University89219031472656

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. Carol Declue Riley allows following entities to bill medicare on her behalf.
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719

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. Carol Declue 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
Carol Declue Riley, CRNP
Po Box 64474,
Baltimore, MD 21264-4474

Ph: (410) 933-7400
Carol Declue Riley, CRNP
10755 Falls Rd,
Lutherville, MD 21093-4515

Ph: (410) 583-2970

Reviews and Comments


Nurse Practitioner Nurses in Lutherville, MD

Mrs. Joanne Elizabeth Desmond, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10755 Falls Rd, Suite 260, Lutherville, MD 21093
Phone: 410-583-2955    
Ms. Nelli Zafman, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10753 Falls Rd, Suite 145, Lutherville, MD 21093
Phone: 410-583-2970    
Dr. Michael Nwandu, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 York Rd Ste 601, Lutherville, MD 21093
Phone: 443-442-4818    Fax: 410-650-9053
Mrs. Marye Kellermann, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 31 Blondell Ct, Lutherville, MD 21093
Phone: 410-494-0398    Fax: 410-494-1445
Rebecca Millison,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16 Westspring Way, Lutherville, MD 21093
Phone: 443-465-6937    
Kayla Mardaga, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1300 York Rd Ste 30d, Lutherville, MD 21093
Phone: 443-519-2128    
Erica P. Cerquetti,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2525 Pot Spring Road, Mercy Ridge Inc., Lutherville, MD 21093
Phone: 410-561-0200    

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.