Individual provider Active NPI

Isamar Rivera, CRNP

  • Women's Health Nurse Practitioner
  • Chambersburg, PA
National Provider Identifier
1093310443
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP022818 Issued in PA
Practice address
12 St Paul Dr Ste 207
Chambersburg, PA 17201-1035
Phone
(717) 217-6882
Fax
(717) 255-0157
NPI assigned
Dec 3, 2020
Last updated
Feb 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP022818 PA Primary

Addresses

Primary practice location

12 St Paul Dr Ste 207
Chambersburg, PA 17201-1035

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 709-6533

Other practice location 1

120 N 7th St Ste 200
Chambersburg, PA 17201-1795
Phone (717) 217-6882

Other practice location 2

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 765-5086

Other practice location 3

214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-6125

Other practice location 4

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6882

Other practice location 5

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5086

Other identifiers 1

IdentifierTypeStateIssuer
1093310443OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210415001182 PA Practitioner - Nurse Practitioner 9931517711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

694 Good Dr
Suite 112
Lancaster, PA 17601-2433
Phone (717) 397-8177

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Susquehanna Valley Women's Health Care PC CurrentSince Aug 1, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Susquehanna Valley Women's Health Care, PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

12 St Paul Dr
Ste 207
Chambersburg, PA 17201
Phone (717) 217-6882

120 N 7th St
Chambersburg, PA 17201
Phone (717) 217-6882

120 N 7th St
Ste 200
Chambersburg, PA 17201
Phone (717) 217-6800

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

694 Good Dr
#112
Lancaster, PA 17601
Phone 71739781771890

792 Lititz Pike
Lititz, PA 17543

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: irivera15753@wellspan.direct-ci.com
  • Direct secure messaging: irivera231065@direct-lghealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1093310443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-709-6533",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ST PAUL DR STE 207",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011035",
            "telephone_number": "717-217-6882",
            "fax_number": "717-255-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011795",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-217-6883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-762-4551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Connellsburg",
            "state": "PA",
            "postal_code": "172338559",
            "country_code": "US",
            "telephone_number": "717-485-6125",
            "fax_number": "717-255-0157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-255-0157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-762-4551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ISAMAR",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP022818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093310443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.