Individual provider Active NPI

Alissa Monique Rivera Olguin, FNP

  • Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1669206231
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
313381 Issued in AZ
Practice address
14674 W Mountain View Blvd Ste 210
Surprise, AZ 85374-2708
Phone
(623) 546-1400
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 313381 AZ Primary

Addresses

Primary practice location

14674 W Mountain View Blvd Ste 210
Surprise, AZ 85374-2708

Mailing address

PO Box 8114
Phoenix, AZ 85066-8114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241121001398 AZ Practitioner - Nurse Practitioner 2264967710 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Native Health CurrentSince Oct 24, 2024 Accepting new patients
Native Health Current Accepting new patients
Native Health CurrentSince Oct 24, 2024 Accepting new patients

Locations

4041 N Central Ave
Bldg C
Phoenix, AZ 85012
Phone (602) 679-5262

2423 W Dunlap Ave
Ste 140
Phoenix, AZ 85021
Phone (602) 246-0330

Interoperability endpoints

  • Direct secure messaging: alissa.olguin.p1@direct.nachci.nextgenshare.com

Organizations & group practices 3

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1669206231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850668114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14674 W MOUNTAIN VIEW BLVD STE 210",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742708",
            "telephone_number": "623-546-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA OLGUIN",
        "first_name": "ALISSA",
        "middle_name": "MONIQUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "313381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.