Henry R. Rivera Jr., ACNP, AOCNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9177520 Issued in FL

Practice address

11626 Newell Dr
Port Richey, FL 34668-1541

Phone

(813) 969-0104

NPI assigned

Feb 3, 2007

Last updated

Nov 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, OR2 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

Specialty

Nurse Practitioner

Education

University of South Florida College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Praxis Health, PC

  • Multi-Specialty Clinic/Center
  • Bend, OR
  • NPI 1821068164
  Medicare reassignment Care Compare group NPD
• Achieve Wellness Group LLC

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1669619342
  Medicare reassignment NPD
• Ags Healthcare Specialists Inc

  • Gerontology Nurse Practitioner
  • Tampa, FL
  • NPI 1467482380
  NPD
• Praxis Health, PC

  dba Dallas Family Care

  • Rural Health Clinic/Center
  • Dallas, OR
  • NPI 1942925326
  NPD
• Advantage Wellness Services

  • Nurse Practitioner
  • Gainesville, FL
  • NPI 1568785384
  NPD (past)
• Mobile Medical Industries Inc

  dba AllianceCare

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1528019247
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1518005107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11626 NEWELL DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681541",
            "telephone_number": "813-969-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11626 NEWELL DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681541",
            "telephone_number": "813-969-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "HENRY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "ACNP, AOCNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9177520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anselmo Ignacio Reyes, LMT
• Asontasia Reynolds
• Ricx Investment Corp
• Kimberly Ann Riley-Brown, RN BS
• Shannon Riley
• Milton Rivera
• Aliuska Rivero Martinez
• Beverly A Rivers, LCSW
• Robert J Storerlli (adult family care home)
• Claude Robinson Jr.

• Nurse Practitioner in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.

Verify at the official NPI Registry.