Rena Frances Rivas Lorek

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28163642A Issued in IN

Practice address

5130 Salem Ave
Trotwood, OH 45426-2042

Phone

(937) 529-4443

Fax

(937) 715-4363

NPI assigned

May 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Priority Urgent Care LLCGroup PAC ID 3577848316, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rena.rivas.lorek.1@15350.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15350/brand/1/csg/1/fhir/r4

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.

• First Priority Urgent Care LLC

  • Urgent Care Clinic/Center
  • Trotwood, OH
  • NPI 1902343031
  Medicare reassignment Care Compare group NPD
• Flourish Health Group in LLC

  • Multi-Specialty Clinic/Center
  • Dyer, IN
  • NPI 1467168252
  Medicare reassignment NPD

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1023675642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BURNTWOOD DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301654",
            "telephone_number": "219-226-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 SALEM AVE",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262042",
            "telephone_number": "937-529-4443",
            "fax_number": "937-715-4363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9339 Calumet Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212879",
            "country_code": "US",
            "telephone_number": "708-567-0949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 Joliet St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463113000",
            "country_code": "US",
            "telephone_number": "800-799-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS LOREK",
        "first_name": "RENA",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28163642A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "28163642A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009106A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0036834",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28163642A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Reeves
• Sylvester J Render Sr.
• Renewed Health Care Practice
• Angel May Renfro, APRN A-GNP-C
• Jasmine V Richardson
• Angela Roberts
• Courtney Robinson
• Tashayla Rollins
• Royalcaregiver LLC
• Samaritan LTC Pharmacy

• Family Nurse Practitioner in Trotwood, OH
• Providers in Trotwood, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.