Individual provider Active NPI

Lauren Rivera, PA

  • Medical Physician Assistant
  • Lake Mary, FL
National Provider Identifier
1861863078
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA109016 Issued in FL
Practice address
210 Rinehart Rd
Lake Mary, FL 32746-2514
Phone
(321) 843-2100
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109016 FL
Medical Physician Assistant 363AM0700X PA109016 FL Primary

Addresses

Primary practice location

210 Rinehart Rd
Lake Mary, FL 32746-2514

Mailing address

210 Rinehart Rd
Lake Mary, FL 32746-2514
Phone (321) 843-2100

Other practice location 1

805 Currency Cir
Lake Mary, FL 32746-2115
Phone (407) 804-6133

Other identifiers 1

IdentifierTypeStateIssuer
111348600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address providerenrollment@orlandohealth.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221000132 FL Practitioner - Physician Assistant 5092016832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

210 Rinehart Rd
Lake Mary, FL 32746-2514
Phone (407) 648-3800

32 W Gore St
Orlando, FL 32806-1134

380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (407) 767-1200

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA109016FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Sep 14, 2015 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Nov 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

917 Rinehart Rd
Ste 2041
Lake Mary, FL 32746
Phone (321) 926-3649

210 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 841-1869

805 Currency Cir
Lake Mary, FL 32746
Phone (407) 804-6133

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lrivera396145@orlandohealth.medalliesdirect.net

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.

Hospital & facility affiliations 3

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1861863078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 RINEHART RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462514",
            "telephone_number": "321-843-2100",
            "fax_number": "321-842-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 RINEHART RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462514",
            "telephone_number": "321-843-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Currency Cir",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462115",
            "country_code": "US",
            "telephone_number": "407-804-6133",
            "fax_number": "866-447-9143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109016",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA109016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111348600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@orlandohealth.com",
            "affiliation": "N",
            "address_1": "210 Rinehart Rd",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327462514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.