Individual provider Active NPI

Flor Andrea Rivera, FNP-BC

  • Family Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1336802115
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015233 Issued in NC
Practice address
415 N Center St Ste 102
Hickory, NC 28601-5036
Phone
(828) 322-2005
Fax
(828) 322-2159
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 29125 SC
Family Nurse Practitioner 363LF0000X 5015233 NC Primary

Addresses

Primary practice location

415 N Center St Ste 102
Hickory, NC 28601-5036

Mailing address

415 N Center St Ste 102
Hickory, NC 28601-5036
Phone (828) 322-2005

Other practice location 1

890 W Faris Rd Ste 580
Greenville, SC 29605-4281
Phone (864) 455-7874

Other names 1

  • Flor Andrea Rivera Gonzalez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211229000036 NC Practitioner - Nurse Practitioner 4789075805 Reassigns benefits to 1 organization
I20250116000450 SC Practitioner - Nurse Practitioner 4789075805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

890 W Faris Rd
Suite 580
Greenville, SC 29605-4281
Phone (864) 455-7874

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
29125SCMDAdult Health Nurse Practitioner
5015233NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jan 6, 2025 Accepting new patients
DLP Frye Medical Group LLC Family CurrentSince Feb 1, 2022 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Feb 1, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 6, 2025 Accepting new patients
DLP Frye Medical Group LLC Family Past Accepting new patients

Locations

1771 Tate Blvd SE
Ste 201
Hickory, NC 28602
Phone (828) 324-4804

2660 Tate Blvd SE
Hickory, NC 28602
Phone (828) 261-0009

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

1771 Tate Blvd SE
Ste 101
Hickory, NC 28602
Phone (828) 315-5110

415 N Center St
Ste 102
Hickory, NC 28601
Phone (704) 327-9178

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

1041 Morganton Blvd SW
#200
Lenoir, NC 28645
Phone (828) 991-4660

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335

890 W Faris Rd
Ste 580
Greenville, SC 29605
Phone (864) 455-7874

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: friveragonzalez829521@direct.ghs.myhfn.org
  • Direct secure messaging: andrea.rivera.1@15786.direct.athenahealth.com

Organizations & group practices 5

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1336802115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST STE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015036",
            "telephone_number": "828-322-2005",
            "fax_number": "828-322-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST STE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015036",
            "telephone_number": "828-322-2005",
            "fax_number": "828-322-2159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 W Faris Rd Ste 580",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054281",
            "country_code": "US",
            "telephone_number": "864-455-7874",
            "fax_number": "864-455-8933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "FLOR",
        "middle_name": "ANDREA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "29125",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLOR",
            "last_name": "RIVERA GONZALEZ",
            "middle_name": "ANDREA",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.