Individual provider Active NPI

Maria Elena Rivera, FNP

  • Nurse Practitioner
  • Medford, OR
National Provider Identifier
1356977144
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201907555NP-PP Issued in OR
Practice address
935 Town Centre Dr Ste C
Medford, OR 97504-6172
Phone
(458) 292-2272
Fax
(458) 292-1216
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201907555NP-PP OR Primary

Addresses

Primary practice location

935 Town Centre Dr Ste C
Medford, OR 97504-6172

Mailing address

935 Town Centre Dr Ste C
Medford, OR 97504-6172
Phone (458) 292-2272

Other identifiers 1

IdentifierTypeStateIssuer
500777254MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200413000070 OR Practitioner - Nurse Practitioner 5496184566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 N Central Ave
Suite 317
Medford, OR 97501-5939
Phone (541) 227-2808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201907555NP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2023 Accepting new patients
Jefferson Neurology LLC CurrentSince Apr 1, 2020 Accepting new patients
Jefferson Neurology, LLC CurrentSince Apr 1, 2020 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Rivera Health & Wellness CurrentSince Sep 1, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2023 Accepting new patients
Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon CurrentSince Sep 1, 2025 Accepting new patients
Bear Creek Surgery PA, PC PastSince Mar 1, 2020 Accepting new patients
Vera Whole Health Wa PC PastSince May 1, 2022 Accepting new patients

Locations

1801 Highway 99 N
Ste 2
Ashland, OR 97520
Phone (541) 482-5515

2200 Bryant Williams Dr
Ste 1
Klamath Falls, OR 97601
Phone (541) 884-3677

33 N Central Ave
Ste 317
Medford, OR 97501
Phone (541) 227-2808

935 Town Centre Dr
Ste C
Medford, OR 97504
Phone (458) 292-2272

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25687/brand/6/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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 3

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1356977144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 TOWN CENTRE DR STE C",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046172",
            "telephone_number": "458-292-2272",
            "fax_number": "458-292-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 TOWN CENTRE DR STE C",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046172",
            "telephone_number": "458-292-2272",
            "fax_number": "458-292-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201907555NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500777254",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.