Active NPI
Merilyn Rivera, FNP-C
- Primary Care Nurse Practitioner
- Addison, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 209.032662
- Practice address
- 228 E Lake St
Addison, IL 60101-2889 - Phone
- (630) 835-1430
- NPI assigned
- Jul 5, 2025
- Last updated
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209.032662 | IL | Primary |
Addresses
Primary practice location
228 E Lake St
Addison, IL 60101-2889
Mailing address
4429 N Kildare Ave # 4G
Chicago, IL 60630-4290
Phone (915) 258-7006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Texas Tech University Health Science Center School of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1542 W Devon Ave
Chicago, IL 60660-1344
Phone (630) 835-1430
228 E Lake St
Addison, IL 60101-2889
Phone (630) 835-1430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.032662 | IL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamdard Health Alliance | Current | Accepting new patients | |
| Hamdard Health Alliance | Current | Accepting new patients | |
| Hamdard Health Alliance | Past | Accepting new patients |
Locations
228 E Lake St
Addison, IL 60101
Phone (630) 835-1430
1542 W Devon Ave
Chicago, IL 60660
Phone (773) 465-4600
Interoperability endpoints
- merilyn.rivera.1@10099.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Hamdard Health Addison
- Federally Qualified Health Center (FQHC)
- Addison, IL
- NPI 1609875053
-
dba Hamdard Health Bensenville
- Federally Qualified Health Center (FQHC)
- Bensenville, IL
- NPI 1700470580
-
dba Hamdard Health Rogers Park
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356772834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1073403713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4429 N KILDARE AVE # 4G",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606304290",
"telephone_number": "915-258-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 E LAKE ST",
"city": "ADDISON",
"state": "IL",
"postal_code": "601012889",
"telephone_number": "630-835-1430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MERILYN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-05",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209.032662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.