Individual provider Active NPI

Monicah Rivera, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1316712763
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2321959 Issued in MA
Practice address
59 Lowes Way
Lowell, MA 01851-5018
Phone
(978) 565-0569
Fax
(978) 226-4454
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN2321959 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2321959 MA Primary

Addresses

Primary practice location

59 Lowes Way
Lowell, MA 01851-5018

Mailing address

16 Stedman St Ste 1B
Lowell, MA 01851-2850
Phone (978) 799-3193

Other practice location 1

16 Stedman St Ste 1B
Lowell, MA 01851-2850
Phone (978) 798-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240620003736 MA Practitioner - Nurse Practitioner 8325581184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians
Devens Treatment and Recovery Center LLCGroup PAC ID 8123319498, 29 clinicians

Practice addresses (Care Compare)

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

59 Lowes Way
Lowell, MA 01851-5018
Phone (978) 565-0569

85 Patton Rd
Devens, MA 01434-4401
Phone (978) 615-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2321959MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Slate Care Services LLC CurrentSince Jun 1, 2024 Accepting new patients
Devens Treatment & Recovery Center, LLC Psychiatric/Mental Health CurrentSince Jan 26, 2026 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Nov 15, 2024 Accepting new patients
Northeast Health Services, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

19 Midstate Dr
Ste 110
Auburn, MA 01501

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

85 Patton Rd
Devens, MA 01434
Phone (978) 615-5200

59 Lowes Way
Lowell, MA 01851
Phone (617) 733-4166

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1316712763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STEDMAN ST STE 1B",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512850",
            "telephone_number": "978-799-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LOWES WAY",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018515018",
            "telephone_number": "978-565-0569",
            "fax_number": "978-226-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Stedman St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018512850",
            "country_code": "US",
            "telephone_number": "978-798-4412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MONICAH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "RN2321959",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2321959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.