Individual provider Active NPI

Edwin Rivera, APRN

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1336731546
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010803 Issued in FL
Practice address
2980 SE 3Rd CT
Ocala, FL 34471-0445
Phone
(352) 622-4231
Fax
(352) 622-0518
NPI assigned
Feb 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11010803 FL Primary

Addresses

Primary practice location

2980 SE 3Rd CT
Ocala, FL 34471-0445

Mailing address

2980 SE 3Rd CT
Ocala, FL 34471-0445
Phone (352) 622-4231

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210323001282 FL Practitioner - Nurse Practitioner 8426465220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Intensivist Group LLCGroup PAC ID 1355646399, 3 clinicians

Practice addresses (Care Compare)

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1000

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Kidney Group Inc Single Specialty CurrentSince Jul 25, 2021 Accepting new patients
Ocala Lung & Critical Care Assocates Inc Single Specialty CurrentSince Oct 18, 2021 Accepting new patients
Ocala Intensivist Group LLC Single Specialty CurrentSince Oct 18, 2021 Accepting new patients
Ocala Kidney Group Inc Single Specialty CurrentSince Mar 1, 2021 Accepting new patients

Locations

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

1834 SW 1st Ave
Ste 101
Ocala, FL 34471
Phone 3527325552312

8613 SW 103rd Street Rd
Ocala, FL 34481
Phone 3526224231 ext. 270

2980 SE 3rd Ct
Ocala, FL 34471
Phone (352) 622-4231

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1336731546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710445",
            "telephone_number": "352-622-4231",
            "fax_number": "352-622-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710445",
            "telephone_number": "352-622-4231",
            "fax_number": "352-622-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EDWIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.