Individual provider Active NPI

Nathaniel B Rieveschl

  • Ophthalmology Physician
  • Fernandina Beach, FL
National Provider Identifier
1851854731
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME161961 Issued in FL
Practice address
1886 S 14TH St Ste 5
Fernandina Beach, FL 32034-4719
Phone
(504) 214-2722
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X ME161961 FL Primary

Addresses

Primary practice location

1886 S 14TH St Ste 5
Fernandina Beach, FL 32034-4719

Mailing address

12885 SW 1St LN Apt 410
Newberry, FL 32669-3587
Phone (504) 214-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706003655 FL Practitioner - Ophthalmology 7012243140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

1886 S 14TH St
Fernandina Beach, FL 32034-4453
Phone (904) 564-2020

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Aug 1, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Aug 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2023 Accepting new patients
Florida Clinical Practice Association Inc Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients

Locations

1886 S 14th St
Ste 5
Fernandina Beach, FL 32034
Phone (504) 214-2722

1886 S 14th St
Fernandina Beach, FL 32034
Phone (904) 277-9677

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

13453 N Main St
Ste 306
Jacksonville, FL 32218
Phone (904) 564-2020

11512 Lake Mead Ave
Unit 534
Jacksonville, FL 32256
Phone (904) 564-2020

7051 Southpoint Pkwy S
Ste 300
Jacksonville, FL 32216
Phone (904) 398-2720

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

Interoperability endpoints

  • Direct secure messaging: nathaniel.rieveschl.1@9109.direct.athenahealth.com

Organizations & group practices 4

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1851854731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12885 SW 1ST LN APT 410",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693587",
            "telephone_number": "504-214-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 S 14TH ST STE 5",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344719",
            "telephone_number": "504-214-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEVESCHL",
        "first_name": "NATHANIEL",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME161961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.