Roger Rivera Patricio Jr.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN002758 Issued in NV

Practice address

6276 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-3243

Phone

(702) 396-4165

Fax

(702) 252-4405

NPI assigned

Dec 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Merit-based Incentive Payment System (MIPS)

Final score

96.94 of 100Reported as group

Quality

100

Improvement activities

40

Cost

56.45

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Southwest Rehabilitation Physicians & Farhang Associates PLLC

  • Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1467765024
  Medicare reassignment
• Spring Valley Medical Center

  • Rehabilitation Hospital Unit
  • Las Vegas, NV
  • NPI 1568439693
  NPD (past)
• Summerlin Hospital Medical Center L L C

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)
• Valley Primary Care Center LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1568659381
  NPD (past)

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1366957425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 ATRIUM WOODS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351218",
            "telephone_number": "702-767-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183243",
            "telephone_number": "702-396-4165",
            "fax_number": "702-252-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5479 Atrium Woods Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891351218",
            "country_code": "US",
            "telephone_number": "702-767-6374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7251 W Lake Mead Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891288380",
            "country_code": "US",
            "telephone_number": "702-629-6992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICIO",
        "first_name": "ROGER",
        "middle_name": "RIVERA",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-11",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "APRN002758",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gahungu Patrice
• Patricia a. White, PH.D. LLC
• Patricia Ann Brassfield PHD LTD
• Patricia Riley MD LTD
• Patricias Enterprises
• Patrick Bennet, D.O., PLLC
• Mary Patrick-Collins
• Alexus Patrick
• Andrew W Patrick, APN
• Brittany Patrick

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.