Individual provider Active NPI

Angela D Rivero, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1023058005
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44852 Issued in KS
Practice address
3239 N Westwind Bay CT
Wichita, KS 67205-2525
Phone
(316) 992-7900
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 44853 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 44853 KS
Family Nurse Practitioner 363LF0000X 44852 KS Primary

Addresses

Primary practice location

3239 N Westwind Bay CT
Wichita, KS 67205-2525

Mailing address

3239 N Westwind Bay CT
Wichita, KS 67205-2525
Phone (316) 992-7900

Other identifiers 1

IdentifierTypeStateIssuer
100354970AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000458 KS Practitioner - Nurse Practitioner 8527045962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
44853KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Psychiatric Services, LLC CurrentSince Apr 6, 2020 Accepting new patients
Serene Palliative Care & Hospice, Inc. Current Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
House Call Medical Services PastSince Apr 30, 2003 Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Wichita OB-GYN Associates, PA Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Wichita Surgical Specialists PA PastSince Jan 1, 1995 Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26892/brand/1/csg/1/fhir/r4

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3239 N Westwind Bay CT
Wichita, KS 67205-2525
Phone (316) 992-7900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1023058005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 N WESTWIND BAY CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672052525",
            "telephone_number": "316-992-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 N WESTWIND BAY CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672052525",
            "telephone_number": "316-992-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "44853",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "44853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100354970A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.