Individual provider Active NPI

Luis Alberto Rivera Pena, FNP-BC, RN

  • Primary Care Nurse Practitioner
  • Falls Church, VA
National Provider Identifier
1023891579
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024187867 Issued in VA
Practice address
6521 Arlington Blvd Ste 112
Falls Church, VA 22042-3009
Phone
(703) 854-1912
Fax
(703) 854-1122
NPI assigned
Aug 17, 2023
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024187867 VA Primary

Addresses

Primary practice location

6521 Arlington Blvd Ste 112
Falls Church, VA 22042-3009

Mailing address

517 N Armistead St Apt 103
Alexandria, VA 22312-2885
Phone (703) 463-6686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20231212001567 DC Practitioner - Nurse Practitioner 7012366370 Reassigns benefits to 2 organizations
I20240110001677 VA Practitioner - Nurse Practitioner 7012366370 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 5, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 5, 2023 Accepting new patients
Clinica Familiar de Arlington PC PastSince Jul 1, 2024 Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

8109 Hinson Farm Rd
Ste 504
Alexandria, VA 22306
Phone (703) 339-3210

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IECAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IECAAA/Endpoint/IECAAA

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1023891579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N ARMISTEAD ST APT 103",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122885",
            "telephone_number": "703-463-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 ARLINGTON BLVD STE 112",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423009",
            "telephone_number": "703-854-1912",
            "fax_number": "703-854-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA PENA",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "credential": "FNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024187867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.