Individual provider Active NPI

Vera Marie Rivera, NP-C

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1619396272
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013506 Issued in FL
Practice address
1300 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2109
Phone
(772) 878-7078
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 500002202 DC
Family Nurse Practitioner 363LF0000X .0031503 OH
Family Nurse Practitioner 363LF0000X 101.0136564 VT
Family Nurse Practitioner 363LF0000X 53-81049041 KS
Family Nurse Practitioner 363LF0000X 11013506 FL Primary
Family Nurse Practitioner 363LF0000X 087808-23 NH
Family Nurse Practitioner 363LF0000X LG-0011983 DE
Family Nurse Practitioner 363LF0000X APRN03173 RI
Family Nurse Practitioner 363LF0000X 5006852 NC
Family Nurse Practitioner 363LF0000X CNP221133 ME
Family Nurse Practitioner 363LF0000X 3017587 KY
Family Nurse Practitioner 363LF0000X RN2363521 MA
Family Nurse Practitioner 363LF0000X AC004365 MD

Addresses

Primary practice location

1300 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2109

Mailing address

1300 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2109
Phone (866) 389-2727

Other practice location 1

13845 Conlan Cir
Charlotte, NC 28277-2705
Phone (704) 544-2092 ext. 8221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, ME, NH, KS, KY, OH, RI, DC, MA10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20140630000498 NC Practitioner - Nurse Practitioner 5799900080 Reassigns benefits to 1 organization
I20210823002026 FL Practitioner - Nurse Practitioner 5799900080 Reassigns benefits to 1 organization
I20220608003336 ME Practitioner - Nurse Practitioner 5799900080 Reassigns benefits to 1 organization
I20220609001715 NH Practitioner - Nurse Practitioner 5799900080
I20220722000971 KS Practitioner - Nurse Practitioner 5799900080 Reassigns benefits to 1 organization
I20220726000842 KY Practitioner - Nurse Practitioner 5799900080
I20220727000830 OH Practitioner - Nurse Practitioner 5799900080 Reassigns benefits to 1 organization
I20220914001265 RI Practitioner - Nurse Practitioner 5799900080 Reassigns benefits to 1 organization
I20220915002338 DC Practitioner - Nurse Practitioner 5799900080 Reassigns benefits to 1 organization
I20230120001243 MA Practitioner - Nurse Practitioner 5799900080

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of Rhode Island LLCGroup PAC ID 8224350863, 25 clinicians
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians
Minuteclinic Diagnostic of Maine LLCGroup PAC ID 2264732288, 3 clinicians

Practice addresses (Care Compare)

1054 Cass Ave
Woonsocket, RI 02895-4935
Phone (866) 389-2727

11729 Roe Ave
Leawood, KS 66211-2605
Phone (800) 389-2727

12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone (866) 389-2727

4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727

51 Market St
South Portland, ME 04106-3617
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
500002202DCMDFamily Nurse Practitioner
LG-0011983DEMDFamily Nurse Practitioner
11013506FLMDFamily Nurse Practitioner
53-81049041KSMDFamily Nurse Practitioner
RN2363521MAMDFamily Nurse Practitioner
087808-23NHMDFamily Nurse Practitioner
.0031503OHMDFamily Nurse Practitioner
APRN03173RIMDFamily Nurse Practitioner
101.0136564VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Hampshire, L.L.C. Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince May 12, 2014 Accepting new patients
Minuteclinic Diagnostic of Maine, LLC Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostic of Kentucky LLC Family CurrentSince May 2, 2022 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince May 2, 2022 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Jun 13, 2022 Accepting new patients
Minuteclinic Diagnostic of Rhode Island, LLC Family CurrentSince Jul 20, 2022 Accepting new patients
MC Medical Group of DC, PC Family CurrentSince Dec 19, 2022 Accepting new patients

Locations

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

2311 Lime Kiln Ln
Louisville, KY 40222
Phone (502) 291-0749

51 Market St
South Portland, ME 04106
Phone (207) 799-2261

4100 Carmel Rd
Charlotte, NC 28226
Phone (704) 542-1806

13845 Conlan Cir
Charlotte, NC 28277
Phone (704) 544-2092

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

4 Hall St
Concord, NH 03301
Phone (603) 224-3189

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

1054 Cass Ave
Woonsocket, RI 02895
Phone (401) 767-3600

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1619396272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862109",
            "telephone_number": "866-389-2727",
            "fax_number": "401-287-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862109",
            "telephone_number": "772-878-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13845 Conlan Cir",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282772705",
            "country_code": "US",
            "telephone_number": "704-544-2092 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "VERA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "500002202",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": ".0031503",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136564",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81049041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013506",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "087808-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03173",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006852",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP221133",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017587",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2363521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC004365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.