Melissa Rivera, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10017951 Issued in OR

Practice address

11958 SW Garden PL
Tigard, OR 97223-8248

Phone

(866) 966-6463

NPI assigned

Nov 6, 2023

Last updated

Feb 23, 2024By 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

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.rivera.1@30646.direct.athenahealth.com

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.

• Peacehealth Networks on Demand, LLC

  dba Zoom Management

  • General Practice Physician
  • Tigard, OR
  • NPI 1023582178
  Medicare reassignment Care Compare group NPD
• Peacehealth Networks on Demand, LLC

  dba ZoomCare-Bridgeport Village

  • Non-Pharmacy Dispensing Site
  • Tigard, OR
  • NPI 1780293340
  NPD
• Peacehealth Networks on Demand, LLC

  dba ZoomCare- South Commercial

  • Non-Pharmacy Dispensing Site
  • Salem, OR
  • NPI 1033729207
  NPD (past)
• Peacehealth Networks on Demand, LLC

  dba ZoomCare- Clackamas

  • Non-Pharmacy Dispensing Site
  • Clackamas, OR
  • NPI 1417566001
  NPD (past)
• Zoomcare Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lake Oswego, OR
  • NPI 1376225813
  NPD (past)

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1255104717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "CORBETT",
            "state": "OR",
            "postal_code": "970190542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11958 SW GARDEN PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238248",
            "telephone_number": "866-966-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10017951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Dianne Risdon
• Spencer Ritenour, O.D.
• William Shane Ritter, LMT
• Nicole Brook Ritz
• Carlibet Rivas Riera
• Celine Ellingston Rixey
• Rob Dramov, ND, PC (Dramov Naturopathic Medical Center)
• Robert L. Marrs, L.C.S.W., P.C.
• Ramona Roberts, LPC
• Dillon Robertson, MA, RA

• Psychiatric/Mental Health Nurse Practitioner in Tigard, OR
• Providers in Tigard, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.