Individual provider Active NPI

Annabelle O Rivera, APRN FNP

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1871250191
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1059237 Issued in TX
Practice address
604 Kent St
Midland, TX 79701-5805
Phone
(432) 303-1560
Fax
(432) 639-7056
NPI assigned
Nov 22, 2021
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1059237 TX Primary

Addresses

Primary practice location

604 Kent St
Midland, TX 79701-5805

Mailing address

604 Kent St
Midland, TX 79701-5805
Phone (432) 303-1560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220905000026 TX Practitioner - Nurse Practitioner 3476937798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1059237TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Jun 29, 2024 Accepting new patients
Premier Family Care I, Inc CurrentSince Aug 28, 2022 Accepting new patients
Debbie P. Reese M.D.P.a. PastSince Nov 28, 2021 Accepting new patients
Premier Physicians Past Accepting new patients

Locations

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

400 Rosalind Redfern Grover Pkwy
Ste 120
Midland, TX 79701
Phone (432) 221-3700

4214 Andrews Hwy
Ste 107
Midland, TX 79703
Phone (432) 221-5433

4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1871250191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 KENT ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015805",
            "telephone_number": "432-303-1560",
            "fax_number": "432-639-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 KENT ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015805",
            "telephone_number": "432-303-1560",
            "fax_number": "432-639-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANNABELLE",
        "middle_name": "O",
        "credential": "APRN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1059237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.