Individual provider Active NPI

Nicolas Paul Rivera, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, IL
National Provider Identifier
1780001461
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209014226 Issued in IL
Practice address
800 E Carpenter St
Springfield, IL 62702-5324
Phone
(217) 525-5643
NPI assigned
Mar 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9251437 FL
Certified Registered Nurse Anesthetist 367500000X 209014226 IL Primary
Certified Registered Nurse Anesthetist 367500000X 101275 PR

Addresses

Primary practice location

800 E Carpenter St
Springfield, IL 62702-5324

Mailing address

800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 525-5643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624000280 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335361492 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Anesthesia Medicine Services of FL LLCGroup PAC ID 9537524343, 166 clinicians
Anesthesia Physician Solutions of North Florida LLCGroup PAC ID 5597066001, 280 clinicians

Practice addresses (Care Compare)

4500 W Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 367-2310

6700 Lake Nona Blvd
HCA Ucf Lake Nona Medical Center
Orlando, FL 32827-7729
Phone (689) 216-8000

700 W Oak St
Kissimmee, FL 34741-4996
Phone (954) 939-5000

8300 Red Bug Lake Rd
Oviedo, FL 32765-6801
Phone (407) 359-4503

Hospital & facility affiliations

  • Ucf Lake Nona Hospital Hospital, Orlando, FL, CCN 100350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
209014226ILMDCertified Registered Nurse Anesthetist
101275PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2019 Accepting new patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Anesthesia Medicine Services of FL, LLC CurrentSince Nov 21, 2024 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

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 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": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1780001461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025324",
            "telephone_number": "217-525-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025324",
            "telephone_number": "217-525-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NICOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9251437",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209014226",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "101275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.