Active NPI
Mary Rivera, NP
- Nurse Practitioner
- Johnson City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 301728
- Practice address
- 52 Harrison St
Southern Tier Pulmonary
Johnson City, NY 13790-2120 - Phone
- (607) 729-8845
- Fax
- (607) 729-5574
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 301728 | NY | Primary |
Addresses
Primary practice location
52 Harrison St
Southern Tier Pulmonary
Johnson City, NY 13790-2120
Mailing address
52 Harrison St
Southern Tier Pulmonary
Johnson City, NY 13790-2120
Phone (607) 729-8845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
179 N Broad St
Uhs Senior Living Norwich
Norwich, NY 13815-1019
Phone (607) 337-4111
Hospital & facility affiliations
- Chenango Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.59 of 100
- Quality
- 78.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.4 of 100
- Quality
- 86.36
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Tier Pulmonary & Critical Care Medicine LLC | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| United Medical Associates PC | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Delaware Valley Hospital, Inc | Past | Accepting new patients |
Locations
52 Harrison St
Johnson City, NY 13790
Phone (607) 729-8845
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
52 Harrison St
#1
Johnson City, NY 13790
Phone (607) 729-8845
179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- Pulmonary Disease Physician
- Johnson City, NY
- NPI 1841303070
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Durable Medical Equipment & Medical Supplies
- Norwich, NY
- NPI 1437818622
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Binghamton, NY
- NPI 1629252556
-
- Critical Access Hospital Clinic/Center
- Walton, NY
- NPI 1144312646
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1215912704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 HARRISON ST",
"address_2": "SOUTHERN TIER PULMONARY",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902120",
"telephone_number": "607-729-8845",
"fax_number": "607-729-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 HARRISON ST",
"address_2": "SOUTHERN TIER PULMONARY",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902120",
"telephone_number": "607-729-8845",
"fax_number": "607-729-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "301728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.