Individual provider Active NPI

Jessica Rivera

  • Physician Assistant
  • Homestead, FL
National Provider Identifier
1497183123
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107463 Issued in FL
Practice address
975 Baptist Way Ste 101
Homestead, FL 33033-7600
Phone
(786) 243-8660
Fax
(786) 533-9643
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PAT9107463 FL
Physician Assistant 363A00000X PA9107463 FL Primary

Addresses

Primary practice location

975 Baptist Way Ste 101
Homestead, FL 33033-7600

Mailing address

PO Box 100905
Atlanta, GA 30384-0905
Phone (786) 243-8660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicariv@cerner.directbaptisthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141125000137 FL Practitioner - Physician Assistant 5496077687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Orthopedics, LLCGroup PAC ID 9335228899, 69 clinicians

Practice addresses (Care Compare)

1150 Campo Sano Ave
Coral Gables, FL 33146-1174
Phone (786) 268-6200

13101 S Dixie Hwy
Suite 400
Pinecrest, FL 33156-6530
Phone (786) 467-5753

5000 University Dr
Coral Gables, FL 33146-2008
Phone (786) 308-3401

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

975 Baptist Way
Homestead, FL 33033-7600
Phone (786) 243-8660

Hospital & facility affiliations

  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
72.08
Promoting interoperability
99
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9107463FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Sep 13, 2021 Accepting new patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Sep 13, 2021 Accepting new patients
Shagalov Dermatology PA PastSince Aug 1, 2022 Accepting new patients

Locations

975 Baptist Way
Ste 101
Homestead, FL 33033
Phone (305) 246-4774

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: jessicariv@cerner.directbaptisthealth.com

Organizations & group practices 4

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 1

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1497183123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100905",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840905",
            "telephone_number": "786-243-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY STE 101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "786-243-8660",
            "fax_number": "786-533-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PAT9107463",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicariv@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "975 Baptist Way Ste 101",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330337600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.