Individual provider Active NPI

Josefina Ernestina Rivera

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1174484901
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11043838 Issued in FL
Practice address
3506 Malagrotta Cir
Cape Coral, FL 33909-5242
Phone
(914) 434-0644
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 358528 NY
Family Nurse Practitioner 363LF0000X 11043838 FL Primary

Addresses

Primary practice location

3506 Malagrotta Cir
Cape Coral, FL 33909-5242

Mailing address

3506 Malagrotta Cir
Cape Coral, FL 33909-5242
Phone (914) 434-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260115003230 FL Practitioner - Nurse Practitioner 2769969153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11043838FLMDFamily Nurse Practitioner
358528NYMDFamily Nurse Practitioner
APRNFLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients
On Call Wound Care, LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

909 SE 47th Ter
Cape Coral, FL 33904
Phone (239) 292-7720

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

18480 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 212-2748

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1174484901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 MALAGROTTA CIR",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095242",
            "telephone_number": "914-434-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 MALAGROTTA CIR",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095242",
            "telephone_number": "914-434-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOSEFINA",
        "middle_name": "ERNESTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358528",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11043838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.