Nancy Dennisse Rivera, M.D.
Individual provider Active NPI Family Medicine Physician · Annapolis, MD
NPI 1295791309 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1295791309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0040904 (MD)
- Practice address
- 1209A Marda LN
Annapolis, MD 21403-1706 - Phone
- (410) 353-9323
- Fax
- (410) 877-6807
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Meharry Medical College School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1209 A Marda LN
Annapolis, MD 21403-1706
Phone (410) 353-9323
Hospital & facility affiliations
- Luminis Health Anne Arundel Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061011000124 | MD | Practitioner - Family Practice | 9739159799 |
Reassigns benefits to 1 organization Practice locations: Annapolis, MD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0040904 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Nancy'S Housecalls | Current |
Accepting new patients | |
| 1St Medical Pain Management Specialists | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| J Richard Lilly MD Shaaron R Towns MD and Associates PC | Past |
Accepting new patients | |
| Complete Health Service Inc. | Past |
Accepting new patients |
Locations
405 Frederick Rd
Ste 11
Catonsville, MD 21228
Phone (410) 788-4411
20 Mayo Rd
Ste 201
Edgewater, MD 21037
Phone (410) 956-6800
7600 Osler Dr
Ste 105
Towson, MD 21204
Phone (410) 825-4500
Interoperability endpoints
- nancy.rivera@dnhc-md.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0040904 | MD | Yes |
Addresses
Primary practice location
1209A Marda LN
Annapolis, MD 21403-1706
Mailing address
20 Mayo Rd Ste 201
Edgewater, MD 21037-1442
Phone (410) 956-6800
Other names
- Dr. Nancy Dennisse Rivera-King
Other providers in Annapolis, MD
- John David Ritter
- Samantha Marie Ritts
- Riva Road Surgical Center, LLC
- Brittany Nicole Rivera
- Mary Grace Lanzanas Rivera
- James L Rivers Jr.
- Meghan Rix
- Chanhee Ro
- Richard S. Ro
- David Roahen
All providers in Annapolis, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.