Luis Anibal Rivera Lugo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016191 Issued in FL

Practice address

502 E Hinson Ave
Haines City, FL 33844-5240

Phone

(863) 438-7911

Fax

(863) 638-5035

NPI assigned

Oct 27, 2021

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Male

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 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MP Primary Care ServicesGroup PAC ID 7618357880, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21939/brand/1/csg/1/fhir/r4

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.

• MP Primary Care Services

  • Nephrology Physician
  • Avon Park, FL
  • NPI 1609512656

  Family

  Medicare reassignment Care Compare group NPD
• American Care of North Florida, Inc

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1053679787
  Medicare reassignment NPD
• American Care of North Florida, Inc

  • General Practice Physician
  • Winter Haven, FL
  • NPI 1689934648
  NPD
• American Care of North Florida, Inc

  • General Practice Physician
  • Lakeland, FL
  • NPI 1710429493
  NPD
• Depression and Mental Health Services, LLC

  • Adult Mental Health Clinic/Center
  • Avon Park, FL
  • NPI 1356220677
  NPD
• Bright Care Medical Group LLC

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1780167007
  NPD (past)

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1265196125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811432",
            "telephone_number": "863-291-4590",
            "fax_number": "863-508-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E HINSON AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445240",
            "telephone_number": "863-438-7911",
            "fax_number": "863-638-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA LUGO",
        "first_name": "LUIS",
        "middle_name": "ANIBAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remoterehab in-Home Physical Therapy PLLC
• Daniel Robert Renuart, M.D.
• Lea Elizabeth Reyna
• William T Rigby, PTA
• Angel L Rios, MA
• Rivera Primary Care Inc
• Michele Arlene Rivera-Acosta
• Damaris Rivera-Ramirez, MSW
• Jose Eli Rivera, MS
• Luzzette Z. Rivera, RPH

• Family Nurse Practitioner in Haines City, FL
• Providers in Haines City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.