Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roxene Susan Riles, PHD, FNP-C, RN

Individual provider Family Nurse Practitioner · NPI 1518416510

Dr. Roxene Susan Riles, PHD, FNP-C, RN is a Nurse Practitioner in St Petersburg, Florida. Qualified in 2016, 10 years ago. Practices with Icco LLC, a 133-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3955 58th St N
St Petersburg, FL 33709
Phone: (727) 347-2557
Fax: (727) 345-8972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6560 Ulmerton Rd, Largo, FL 33771-4940 — (813) 915-5459
  • 640 Tyrone Blvd N, St Petersburg, FL 33710-7126 — (727) 528-7827

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3299832 (FL)

Record details

NPI number1518416510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , FNP-C , RN
Sole proprietorYes
NPI enumeratedOctober 2, 2016
Last updated in NPPESMay 26, 2025
Certification dateMay 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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