Carlo Hugo Rivera Jr., MSN, RN, ACNPC-AG

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

5018366 Issued in NC

Practice address

336 Deerfield Rd
Boone, NC 28607-5008

Phone

(828) 262-4100

NPI assigned

Jun 28, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ridge Healthcare Medical Group IncGroup PAC ID 9436159712, 222 clinicians

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians

Charles a Cannon Jr Memorial Hospital IncGroup PAC ID 3274426952, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Watauga Medical Center Hospital, Boone, NC, CCN 340051
• Charles a Cannon Jr Memorial Hospital Hospital, Linville, NC, CCN 341323
• Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Charles a Cannon Jr Memorial Hospital Nursing home, CCN 34Z323

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crivera1035420@direct.unc.nchie.net

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.

• Charles a. Cannon, Jr. Memorial Hospital, Inc.

  • Hospitalist Physician
  • Linville, NC
  • NPI 1821403957
  Medicare reassignment Care Compare group NPD
• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group NPD
• Watauga Medical Center, Inc.

  • Hospitalist Physician
  • Boone, NC
  • NPI 1528134194
  Medicare reassignment Care Compare group NPD
• Blue Ridge Healthcare Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Connelly Springs, NC
  • NPI 1467993931
  Medicare reassignment Care Compare group
• Charles a Cannon Jr Memorial Hospital Inc

  • Psychiatric Hospital Unit
  • Linville, NC
  • NPI 1407006968
  NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc

  • Certified Registered Nurse Anesthetist
  • Linville, NC
  • NPI 1346302783
  NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc.

  • Cardiovascular Disease Physician
  • Linville, NC
  • NPI 1477006385
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD
• Watauga Medical Center Inc

  • Land Ambulance
  • Boone, NC
  • NPI 1255120184
  NPD
• Watauga Medical Center, Inc.

  • Psychiatry Physician
  • Boone, NC
  • NPI 1407921802
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Caldwell Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Lenoir, NC
  • NPI 1114974029
  Care Compare affiliation
• Charles a Cannon Jr Memorial Hospital Inc

  • Psychiatric Hospital Unit
  • Linville, NC
  • NPI 1407006968
  Care Compare affiliation
• Charles a Cannon Jr Memorial Hospital Inc.

  • Critical Access Hospital
  • Linville, NC
  • NPI 1225088255
  Care Compare affiliation
• Charles a Cannon Jr Memorial Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Linville, NC
  • NPI 1376611574

  Nursing home

  Care Compare affiliation
• Watauga Medical Center Inc

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766
  Care Compare affiliation

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1083391304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 HAYRIDE CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241550",
            "telephone_number": "813-404-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075008",
            "telephone_number": "828-262-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Mulberry St SW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455720",
            "country_code": "US",
            "telephone_number": "828-757-5504",
            "fax_number": "828-757-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CARLO",
        "middle_name": "HUGO",
        "name_suffix": "Jr.",
        "credential": "MSN, RN, ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5018366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crivera1035420@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "321 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carrie Richardson, LCSW
• Cori Richardson
• Ridge Care, Inc.
• Amanda Rights, O.D.
• Melissa Lynn Riley, LCMHCA
• Laurie Ann Rivera, LAT, ATC
• Robyn W Roark, L.P.C
• Donna A Roberts, OTRL
• Emily A Roberts, PT
• Julie P Roberts, MA,CCC-SLP

• Acute Care Nurse Practitioner in Boone, NC
• Providers in Boone, NC by specialty
• Acute Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.