Erin Eileen Rivera, PHD, CNS, APRN, BC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

70000103A Issued in IN

Practice address

415 E Cook Rd
Suite 100
Fort Wayne, IN 46825-3636

Phone

(260) 489-6030

Fax

(260) 489-5536

NPI assigned

Aug 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Doctor of Philosophy

State licenses

Practice roles

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.

• St Joseph Medical Group Inc

  • General Practice Physician
  • Fort Wayne, IN
  • NPI 1811952070
  Medicare reassignment
• Community Living, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Angola, IN
  • NPI 1316980774
  NPD (past)
• Rise, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Angola, IN
  • NPI 1346301330
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1790893147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E COOK RD",
            "address_2": "SUITE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253636",
            "telephone_number": "260-489-6030",
            "fax_number": "260-489-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E COOK RD",
            "address_2": "SUITE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253636",
            "telephone_number": "260-489-6030",
            "fax_number": "260-489-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ERIN",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "PHD, CNS, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "IN",
            "license": "70000103A",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IN",
            "license": "70000103A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201006300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber M Ritter
• Deanna Rae Ritter, NP
• Robert Ritter
• Emily Ritzert, PA-C
• Edgardo D Rivera-Rivera, M.D.
• Miguel Rivera III
• Alexah K Rivers, LCSW
• Riverside Trauma Services
• Riverview Hospital
• Riverview Hospital

• Clinical Nurse Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.