Christie Marie Rivelli

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201250011NP Issued in OR

Practice address

2158 Exchange St
Suite 304
Astoria, OR 97103-3316

Phone

(503) 325-8315

Fax

(503) 325-8602

NPI assigned

Jul 28, 2010

Last updated

Feb 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dallas Retirement Village Health Center Nursing home, Dallas, OR, CCN 385207

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Solterra Hospice Corporation

  • Community Based Hospice Care Agency
  • Salem, OR
  • NPI 1124840988

  Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Solterra at Home, LLC

  • Primary Care Clinic/Center
  • Salem, OR
  • NPI 1932074150
  NPD Authorized official
• Solterra Hospice Corporation

  • Community Based Hospice Care Agency
  • Salem, OR
  • NPI 1124840988
  NPD Authorized official

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

• Dallas Health Care Center L L C

  dba Dallas Retirement Village Health Center

  • Skilled Nursing Facility
  • Dallas, OR
  • NPI 1902140171

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1114231420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971030239",
            "telephone_number": "503-325-8315",
            "fax_number": "503-325-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 EXCHANGE ST",
            "address_2": "SUITE 304",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033316",
            "telephone_number": "503-325-8315",
            "fax_number": "503-325-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVELLI",
        "first_name": "CHRISTIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201250011NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231893",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ziya Rettig
• Kathy Jean Rhodes, MA, LMHC, LPC
• Emily Catherine Riddle, LMT
• Diana Rinkevich, MD
• Kirsten Ritchie
• Rivershore Foot & Ankle Clinic, Inc
• Rivershore Foot and Ankle Clinic Inc.
• Riverside Pediatrics, LLC
• Maryellen Yvonne Rizzi
• Mary Elizabeth Rizzo, RN, FNP-BC

• Family Nurse Practitioner in Astoria, OR
• Providers in Astoria, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.