Individual provider Active NPI

Adriana Rivera, C.N.M.

  • Advanced Practice Midwife
  • Chicago, IL
National Provider Identifier
1891853123
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209-004862 Issued in IL
Practice address
3229 W 47TH PL
Chicago, IL 60632-3011
Phone
(773) 254-6044
NPI assigned
Dec 6, 2006
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209-004862 IL Primary

Addresses

Primary practice location

3229 W 47TH PL
Chicago, IL 60632-3011

Mailing address

3229 W 47TH PL Ste 200
Chicago, IL 60632-3011
Phone (773) 254-6044

Other identifiers 1

IdentifierTypeStateIssuer
209-004862OtherILAPN STATE LICENSE

Other names 1

  • Adriana Mercado Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000415 IL Practitioner - Certified Nurse Midwife (CNM) 7911194972 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209-004862ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jun 26, 2010 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 13, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 13, 2017 Accepting new patients
Access Community Health Network CurrentSince Jun 26, 2010 Accepting new patients
Access Community Health Network Current Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

600 W Fulton St
Ste 300
Chicago, IL 60661

3134 N Clark St
Chicago, IL 60657
Phone (312) 766-4949

29373 Network Pl
Chicago, IL 60673

3303 W 26th St
Chicago, IL 60623
Phone (773) 277-6589

Interoperability endpoints

  • Direct secure messaging: arivera3159@direct.achn.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1891853123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 W 47TH PL STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323011",
            "telephone_number": "773-254-6044",
            "fax_number": "312-526-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 W 47TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323011",
            "telephone_number": "773-254-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ADRIANA",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209-004862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN STATE LICENSE",
            "identifier": "209-004862",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "MERCADO",
            "credential": "C.N.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.