Individual provider Active NPI

William Carl Rivera, CRNA

  • Certified Registered Nurse Anesthetist
  • Concord, NH
National Provider Identifier
1205995529
Registry record updated Dec 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
084359-23 Issued in NH
Practice address
116 Langley Pkwy
Concord, NH 03301-7521
Phone
(603) 228-7211
NPI assigned
Dec 6, 2006
Last updated
Dec 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN59997 DC
Certified Registered Nurse Anesthetist 367500000X R115089 MD
Certified Registered Nurse Anesthetist 367500000X 0024165528 VA
Certified Registered Nurse Anesthetist 367500000X 084359-23 NH Primary

Addresses

Primary practice location

116 Langley Pkwy
Concord, NH 03301-7521

Mailing address

4 Chaddarin LN
Plymouth, NH 03264-4400
Phone (202) 441-7512

Other identifiers 1

IdentifierTypeStateIssuer
409194900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA, NH4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20051116000853 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426077694 Reassigns benefits to 3 organizations
I20080328000074 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426077694 Reassigns benefits to 3 organizations
I20110512000396 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426077694 Reassigns benefits to 1 organization
I20210310000391 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426077694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians
Icon Anesthesia Services of New England LLCGroup PAC ID 2668732041, 21 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400

2 Pillsbury St
Suite 100
Concord, NH 03301-3549
Phone (603) 224-2020

70 Sherry LN
Suite 101
Prince Frederick, MD 20678-3276
Phone (410) 889-2040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
084359-23NHMDCertified Registered Nurse Anesthetist
0024165528VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2022 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Jun 1, 2021 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Aug 5, 2015 Accepting new patients
Maryland Expresscare LLC CurrentSince Jul 25, 2020 Accepting new patients
Capital Anesthesia Partners, LLC CurrentSince Sep 1, 2024 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Jun 1, 2021 Accepting new patients
University of Maryland Medical System Corporation Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2020 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Jun 15, 2023 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2021 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
Shock Trauma Associates, P.a. Past Accepting new patients

Locations

2021 K St NW
Ste T120
Washington, DC 20006
Phone (202) 775-0574

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2401 W Belvedere Ave
Baltimore, MD 21215

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

5550 Friendship Blvd
Ste T100
Chevy Chase, MD 20815
Phone (240) 531-2832

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

400 10th St E
Waconia, MN 55387

2 Pillsbury St
Ste 100
Concord, NH 03301
Phone (603) 224-2020

580 Court St
Keene, NH 03431
Phone (603) 354-5454

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Organizations & group practices 12

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703894400000",
    "number": "1205995529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHADDARIN LN",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032644400",
            "telephone_number": "202-441-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LANGLEY PKWY",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017521",
            "telephone_number": "603-228-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "WILLIAM",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN59997",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R115089",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024165528",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "084359-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409194900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.