Janice B Rivera, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107340 Issued in FL

Practice address

9145 Narcoossee Rd
Suite A200
Orlando, FL 32827-5768

Phone

(407) 412-5030

Fax

(407) 601-7946

NPI assigned

Dec 15, 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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Florida Spine and PainGroup PAC ID 7618396268, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Central Florida Spine and Pain LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Melbourne, FL
  • NPI 1851904916
  Medicare reassignment Care Compare group
• James W Cahill MD LLC

  • Orthopaedic Surgery Physician
  • Hackensack, NJ
  • NPI 1649656497
  NPD (past)
• Orthopedic Specialist of New Jersey PA

  • Orthopaedic Surgery Physician
  • Hackensack, NJ
  • NPI 1326229840
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1861554677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 NARCOOSSEE RD",
            "address_2": "SUITE A200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275768",
            "telephone_number": "407-412-5030",
            "fax_number": "407-601-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9145 NARCOOSSEE RD",
            "address_2": "SUITE A200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275768",
            "telephone_number": "407-412-5030",
            "fax_number": "407-601-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JANICE",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107340",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9107340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorimar Rivera
• Gracemary Rivera, RBT
• Gustavo Andres Rivera
• Heriberto Rivera, MSOM
• Itza M Rivera, MD
• Jarelys Rivera
• Jennilee Rivera, MBA
• Jessica Rivera, BCBA
• Jessica Rivera
• Joel Jose Rivera, PHARM.D

• Medical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.