Individual ProviderKaren Baxter RileyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(919) 410-4832(919) 244-5425PECOS EnrollmentBased on the most recent information from CMS, provider Karen Baxter Riley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1437354974Provider TypeIndividualFull NameRiley, Karen BaxterCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date6/15/2007Last Updated6/26/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(919) 410-4832FaxUnlisted FaxMailing LocationMailing Address35 Bodie Island Way, Garner, NC 27529-6104Phone(919) 244-5425FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense201390North CarolinaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense201390North Carolina