Individual provider Active NPI

Stacy Marie Rivera Rivera, AG-ACNP

  • Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1417625187
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022525 Issued in NC
Practice address
7 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone
(828) 255-7776
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11035492 FL
Acute Care Nurse Practitioner 363LA2100X 95011538 CA
Adult Health Nurse Practitioner 363LA2200X 95011538 CA
Adult Health Nurse Practitioner 363LA2200X 11035492 FL
Gerontology Nurse Practitioner 363LG0600X 5022525 NC
Nurse Practitioner 363L00000X 5022525 NC Primary

Addresses

Primary practice location

7 Vanderbilt Park Dr
Asheville, NC 28803-1700

Mailing address

7 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (352) 474-9363

Other practice location 1

400 N Tampa St Fl 15
Tampa, FL 33602-4730
Phone (888) 803-3370

Other names 1

  • Stacy Marie Torres Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 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
I20211018002719 CA Practitioner - Nurse Practitioner 2466850748 Reassigns benefits to 3 organizations
I20251005000128 NC Practitioner - Nurse Practitioner 2466850748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035492FLMDAcute Care Nurse Practitioner
95011538CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care of California CurrentSince Jan 16, 2025 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Mar 10, 2025 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Sep 8, 2025 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Sep 8, 2025 Accepting new patients
Digestive Disease Associates, Inc CurrentSince Sep 28, 2021 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Southern California Gastroenterology Anesthesia Specia PastSince Sep 1, 2021 Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

880 Third Ave
#A
Chula Vista, CA 91911
Phone (619) 205-4585

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

292 Euclid Ave
Ste 115
San Diego, CA 92114
Phone (619) 266-3332

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

7 Vanderbilt Park Dr
#100A
Asheville, NC 28803
Phone (828) 258-0969

7 Vanderbilt Park Dr
Asheville, NC 28803
Phone (828) 274-7435

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

Interoperability endpoints

  • Direct secure messaging: srivera58704@syhealth.direct-ci.com

Organizations & group practices 10

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 4

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1417625187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "352-474-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-255-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Tampa St Fl 15",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336024730",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA RIVERA",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11035492",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95011538",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95011538",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11035492",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5022525",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "TORRES",
            "middle_name": "MARIE",
            "credential": "AG-ACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.