Individual provider Active NPI

Francisco M. Rivera, FNP,ACNP

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1487742037
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
658568 Issued in TX
Practice address
619 S Fleishel Ave
Tyler, TX 75701-2004
Phone
(903) 595-5514
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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 658568 TX Primary

Addresses

Primary practice location

619 S Fleishel Ave
Tyler, TX 75701-2004

Mailing address

619 S Fleishel Ave
Tyler, TX 75701-2004
Phone (903) 595-5514

Other identifiers 3

IdentifierTypeStateIssuer
191707201MedicaidTX
P00610118OtherRAILROAD MEDICARE
8Y1349OtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070228000411 TX Practitioner - Nurse Practitioner 8224130893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

115 Medical Cir
Suite 102
Athens, TX 75751-9004
Phone (903) 676-5889

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
658568TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Pittsburg Hospital LLC Past Accepting new patients
Quitman Hospital LLC Past Accepting new patients
Jacksonville Hospital LLC Past Accepting new patients
Carthage Hospital, LLC Past Accepting new patients
Henderson Memorial Hospital Past Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

115 Medical Cir
Ste 102
Athens, TX 75751
Phone (903) 676-5889

406 E State Highway 243
Canton, TX 75103
Phone (903) 567-4784

704 Davis St
Carthage, TX 75633
Phone (903) 694-4824

702 Davis St
Carthage, TX 75633
Phone (903) 693-3841

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

203 Nacogdoches St
Ste 240
Jacksonville, TX 75766
Phone (903) 541-5452

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505

2608 McDonald Rd
Tyler, TX 75701
Phone 903595551487262

901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700

2401 Sse Loop 323
Tyler, TX 75701
Phone (903) 510-7212

Interoperability endpoints

  • Direct secure messaging: frivera355656@ahs.direct-ci.com

Organizations & group practices 7

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1487742037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012004",
            "telephone_number": "903-595-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012004",
            "telephone_number": "903-595-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "FRANCISCO",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "FNP,ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "658568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191707201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00610118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8Y1349",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.