Active NPI
Ingrid Marcela Rivera, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1457041816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 867014
- Practice address
- 4958 S Rainbow Blvd
Las Vegas, NV 89118-1418 - Phone
- (702) 372-8994
- NPI assigned
- May 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 867014 | NV | Primary |
Addresses
Primary practice location
4958 S Rainbow Blvd
Las Vegas, NV 89118-1418
Mailing address
PO Box 30012
Las Vegas, NV 89173-0012
Phone (702) 372-8994
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.16 of 100
- Quality
- 80.29
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 61.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Solutions LLC | Single Specialty | Current | Accepting new patients |
| Next Level Psychiatry Arizona PLLC | Current | Accepting new patients |
Locations
2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061
Interoperability endpoints
- ingrid.rivera.1@24259.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Henderson, NV
- NPI 1548765258
Single Specialty
-
- Primary Care Clinic/Center
- Henderson, NV
- NPI 1851996326
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1932703626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1457041816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30012",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891730012",
"telephone_number": "702-372-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4958 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181418",
"telephone_number": "702-372-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "INGRID",
"middle_name": "MARCELA",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "867014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.