Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Riley Duryea

Individual provider Physician Assistant · NPI 1366396772

Riley Duryea is a Physician Assistant in Saint Clair Shores, Michigan. Qualified in 2025, 1 year ago. Practices with Great Lakes Physiatrists PC, a 16-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2026
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Practice location Address checks out

25311 Little Mack Ave Ste B
Saint Clair Shores, MI 48081-3301
Phone: (586) 498-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013777 (MI)

Record details

NPI number1366396772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address25311 Little Mack Ave Ste B, Saint Clair Shores, MI 48081-3301

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Great Lakes Physiatrists Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Clair Shores