Individual provider Active NPI

Stacey Rivera, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1922497601
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9277710 Issued in FL
Practice address
320 E South St Ste 100
Orlando, FL 32801-3508
Phone
(407) 843-1180
Fax
(407) 841-6160
NPI assigned
Jan 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X APRN9277710 FL Primary
Family Nurse Practitioner 363LF0000X RN9277710 FL

Addresses

Primary practice location

320 E South St Ste 100
Orlando, FL 32801-3508

Mailing address

320 E South St Ste 100
Orlando, FL 32801-3508
Phone (407) 843-1180

Other identifiers 1

IdentifierTypeStateIssuer
101498400MedicaidFL

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
I20150401001649 FL Practitioner - Nurse Practitioner 0042537045 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lowell F. Clark MD PAGroup PAC ID 7416918370, 31 clinicians
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

212 S Florida St
Bushnell, FL 33513-6703
Phone (352) 793-2441

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

924 Bichara Blvd
The Villages, FL 32159-7714
Phone (877) 448-3624

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9277710FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Adventhealth Primary Care Network Inc Multi-Specialty CurrentSince Nov 3, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Aug 1, 2023 Accepting new patients
Heart and Vascular Clinic of Clermont LLC Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Mohib Medical LLC Multi-Specialty PastSince Sep 1, 2022 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

3101 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 432-4200

410 Lionel Way
Ste 200
Davenport, FL 33837
Phone (352) 432-4200

6611 Orion Dr
Ste 103
Fort Myers, FL 33912

3832 Newberry Rd
Ste 1D
Gainesville, FL 32607

13550 SW 120th St
Ste 510
Miami, FL 33186

320 E South St
Ste 100
Orlando, FL 32801
Phone (407) 843-1180

11000 Prosperity Farms Rd
Ste 102
Palm Beach Gardens, FL 33410
Phone (561) 619-3557

341 Bullard Pkwy
Ste Ab
Temple Terrace, FL 33617

924 Bichara Blvd
The Villages, FL 32159
Phone (877) 448-3624

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: srivera222816@adventhealth.direct-ci.com

Organizations & group practices 7

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 2

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": "1421452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1922497601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E SOUTH ST STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013508",
            "telephone_number": "407-843-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E SOUTH ST STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013508",
            "telephone_number": "407-843-1180",
            "fax_number": "407-841-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "STACEY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-17",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9277710",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9277710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101498400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.