Individual provider Active NPI

Kelly Vanessa Rivera, APRN-CNP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1497008189
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
57165 Issued in NM
Practice address
10416 Morning Star Dr NE
Albuquerque, NM 87111-7539
Phone
(214) 227-2457
Fax
(214) 764-0880
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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 57165 NM Primary

Addresses

Primary practice location

10416 Morning Star Dr NE
Albuquerque, NM 87111-7539

Mailing address

PO Box 90644
Albuquerque, NM 87199-0644
Phone (214) 227-2457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, MA2 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
I20191016002629 NM Practitioner - Nurse Practitioner 5698006096 Reassigns benefits to 4 organizations
I20220208001203 MA Practitioner - Nurse Practitioner 5698006096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of Massachusetts, LLCGroup PAC ID 2264594944, 106 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87114
Phone (505) 463-1017

2400 Unser Blvd SE
Rio Rancho, NM 87124-3392
Phone (720) 245-0321

311 Newbury St
Danvers, MA 01923-1027
Phone (866) 389-2727

67 D Main St
Medway, MA 02053-1831
Phone (866) 389-2727

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score
85.9 of 100Reported as group
Quality
82.55
Improvement activities
40
Cost
84.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57165NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morning Star Medical LLC Nurse Practitioner CurrentSince Nov 24, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 7, 2019 Accepting new patients
New Mexico Orthopaedic Associates PC CurrentSince Jul 1, 2022 Accepting new patients
Forever 29 LLC Registered Nurse First Assistant CurrentSince Jan 1, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 7, 2019 Accepting new patients
New Mexico Orthopaedic Associates PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

1700 Louisiana Blvd NE
Albuquerque, NM 87110
Phone (505) 724-4300

2100 Louisiana Blvd NE
Ste 410
Albuquerque, NM 87110
Phone (505) 724-4300

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

Interoperability endpoints

  • Direct secure messaging: krivera707336@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 2

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1497008189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90644",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871990644",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10416 MORNING STAR DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117539",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KELLY",
        "middle_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "57165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.