Individual provider Active NPI

Rebeka Ann Rivera, ARNP

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1912418377
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9234118 Issued in FL
Practice address
524 SE Osceola St Ste 100
Stuart, FL 34994-2322
Phone
(772) 419-2379
Fax
(772) 419-2377
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9234118 FL
Nurse Practitioner 363L00000X ARNP9234118 FL
Family Nurse Practitioner 363LF0000X ARNP9234118 FL Primary

Addresses

Primary practice location

524 SE Osceola St Ste 100
Stuart, FL 34994-2322

Mailing address

PO Box 3130
Ocala, FL 34478-3130
Phone (352) 369-0286

Other practice location 1

131 S Citrus Ave
Inverness, FL 34452-4701
Phone (352) 637-0211

Other practice location 2

700 Doctors Ct
Leesburg, FL 34748-7314
Phone (352) 787-9838

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9234118OtherFLSTATE MEDICAL LICENSE

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
I20180109002022 FL Practitioner - Nurse Practitioner 6901165455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9234118FLMDRegistered Nurse
ARNP9234118FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Cardiovascular Anesthesia Associates PLLC CurrentSince Nov 13, 2017 Accepting new patients
Eric Heller MD PA CurrentSince Jun 3, 2024 Accepting new patients

Locations

15340 S Jog Rd
Ste 202
Delray Beach, FL 33446
Phone (561) 330-4177

700 Doctors Ct
Leesburg, FL 34748
Phone (352) 787-9838

524 SE Osceola St
#100
Stuart, FL 34994
Phone (772) 419-2379

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

Organizations & group practices 2

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912418377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3130",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344783130",
            "telephone_number": "352-369-0286",
            "fax_number": "352-867-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SE OSCEOLA ST STE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942322",
            "telephone_number": "772-419-2379",
            "fax_number": "772-419-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 S Citrus Ave",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344524701",
            "country_code": "US",
            "telephone_number": "352-637-0211",
            "fax_number": "352-637-5733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Doctors Ct",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487314",
            "country_code": "US",
            "telephone_number": "352-787-9838",
            "fax_number": "352-787-8705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "REBEKA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9234118",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9234118",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9234118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ARNP9234118",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.