Michelle Rae Rivera

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

265613 Issued in AZ

Practice address

10631 S 51St St Ste 8
Phoenix, AZ 85044-5225

Phone

(480) 418-7246

NPI assigned

Aug 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlas Medical Aco LLCGroup PAC ID 1456885227, 50 clinicians

Century Care IncGroup PAC ID 3971665605, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aegis Homecare, Inc Home health agency, Mesa, AZ, CCN 037422
• Aegis Hospice, Inc. Hospice, Mesa, AZ, CCN 031613

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.rivera@57560418353156.direct.elationemr.com

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.

• Atlas Medical Aco LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1396573705
  Medicare reassignment Care Compare group NPD
• Century Care Inc

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1346499324
  Medicare reassignment Care Compare group NPD

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

• Aegis Homecare, Inc

  • Home Health Agency
  • Mesa, AZ
  • NPI 1902179302
  Care Compare affiliation
• Aegis Hospice, Inc

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1356614754
  Care Compare affiliation

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1174290910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 E PUEBLO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852083907",
            "telephone_number": "480-467-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 S 51ST ST STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445225",
            "telephone_number": "480-418-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "RN158234",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "265613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Rivera, DONA
• Karina Rivera, LAC
• Leonardo Antonio Rivera, PHARMD
• Lexyne Rivera
• Liliana Rivera
• Nohemy Rivera
• Racheal Ann Rivera, RN
• Raquel Rivera, M.S., CCC-SLP
• Raul Rivera Jr., PA-C
• Reyann Elizabeth Rivera, PT, DPT

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.