Pala Nicole Rivera

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

60767 Issued in NM

Practice address

1110 Pennsylvania St NE Ste B
Albuquerque, NM 87110-7404

Phone

(505) 333-4877

NPI assigned

Jul 24, 2020

Sex

Female

Sole proprietor

No

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 NM

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blooming Cactus Wellness, LLCGroup PAC ID 5991108680, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Blooming Cactus Wellness LLC

  • Primary Care Nurse Practitioner
  • Albuquerque, NM
  • NPI 1477127264
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1831708924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107404",
            "telephone_number": "505-333-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107404",
            "telephone_number": "505-333-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PALA NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "60767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margo J Rivera, LPCC
• Martin Louis Rivera, LMT
• Michelle Marie Rivera
• Miquela Carleen Rivera, PH.D.
• Monique Rivera
• Patricia A Rivera, LISW
• Patrick Rivera, MD
• Pedro Jose Rivera, PLMSW
• Philip Andrew Rivera, LPN
• Raeann Rivera, LCSW

• Primary Care Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Primary Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.