Individual provider Active NPI

Victoria Lynn Rivera, ARNP

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1912530809
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005976 Issued in FL
Practice address
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone
(239) 424-3513
Fax
(239) 424-4039
NPI assigned
Feb 19, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11005976 FL Primary

Addresses

Primary practice location

636 Del Prado Blvd S
Cape Coral, FL 33990-2668

Mailing address

636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone (239) 424-3513

Other names 1

  • Mrs. Victoria Lynn Fragoza Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL leehealth.org Health Information Exchange (HIE) Lee Memorial Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, CA, AZ, DC, VA, AR, MA, NJ, TX, NV, MD, NC13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20200511001190 FL Practitioner - Nurse Practitioner 7012348964 Reassigns benefits to 4 organizations
I20220714002668 GA Practitioner - Nurse Practitioner 7012348964 Reassigns benefits to 1 organization
I20220819001347 CA Practitioner - Nurse Practitioner 7012348964 Reassigns benefits to 1 organization
I20221130001795 AZ Practitioner - Nurse Practitioner 7012348964 Reassigns benefits to 1 organization
I20221229002857 DC Practitioner - Nurse Practitioner 7012348964 Reassigns benefits to 1 organization
I20230130002697 VA Practitioner - Nurse Practitioner 7012348964 Reassigns benefits to 1 organization
I20230207003538 AR Practitioner - Nurse Practitioner 7012348964
I20230320000122 MA Practitioner - Nurse Practitioner 7012348964 Reassigns benefits to 1 organization
I20230406000075 NJ Practitioner - Nurse Practitioner 7012348964 Reassigns benefits to 1 organization
I20230417000132 TX Practitioner - Nurse Practitioner 7012348964
I20230817001939 NV Practitioner - Nurse Practitioner 7012348964
I20240131000290 MD Practitioner - Nurse Practitioner 7012348964
I20240611000688 NC Practitioner - Nurse Practitioner 7012348964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
63.66

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

Merit-based Incentive Payment System (MIPS)

Final score
56.11 of 100Reported as group
Quality
50.63
Improvement activities
40
Cost
27.55

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005976FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
True North Health Navigation LLC CurrentSince Sep 1, 2023 Accepting new patients
Dispatchhealth-Florida Inc. Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Cape Coral Emergency Physicians LLC Single Specialty CurrentSince Mar 31, 2020 Accepting new patients
Dispatchhealth-Florida Inc. Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Dispatch Health Medical PC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Dispatchhealth-Florida Inc. Single Specialty CurrentSince Aug 28, 2021 Accepting new patients
True North Health Navigation LLC Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Dispatchhealth Massachusetts PC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Dispatchhealth-Ca, PC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Dispatchhealth-Texas P a Single Specialty CurrentSince Apr 3, 2023 Accepting new patients
Coastal Physicians Inc Single Specialty CurrentSince Aug 26, 2024 Accepting new patients
True North Health Navigation LLC Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Professional Portable Radiologic Services Inc. CurrentSince Oct 9, 2022 Accepting new patients
Dispatchhealth-Arizona Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Dispatchhealth, PC Single Specialty CurrentSince May 1, 2024 Accepting new patients
True North Health Navigation LLC Single Specialty Past Accepting new patients
Excella Home Health Agency, LLC PastSince Feb 1, 2023 Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients

Locations (25 of 37)

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

40 N Swan Rd
Ste 55
Tucson, AZ 85711
Phone (520) 442-2269

5735 Sunrise Blvd
Citrus Hts, CA 95610

604 E Huntington Dr
Ste B
Monrovia, CA 91016

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

811 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 360-2634

811 Del Prado Blvd S
Ste B
Cape Coral, FL 33990
Phone (239) 360-2634

1440 N Nova Rd
Ste 305
Daytona Beach, FL 32117
Phone (386) 258-8680

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888

5885 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (678) 321-8546

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1912530809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902668",
            "telephone_number": "239-424-3513",
            "fax_number": "239-424-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902668",
            "telephone_number": "239-424-3513",
            "fax_number": "239-424-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "leehealth.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4751 S Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339071317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "FRAGOZA",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.