Individual provider Active NPI

Jesus L Rodriguez Rivero, FNP-C

  • Nurse Practitioner
  • Enola, PA
National Provider Identifier
1932993375
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP031908 Issued in PA
Practice address
2200 Good Hope Rd
Enola, PA 17025-1210
Phone
(717) 981-9000
NPI assigned
Apr 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP031908 PA Primary

Addresses

Primary practice location

2200 Good Hope Rd
Enola, PA 17025-1210

Mailing address

500 University Dr
MC Ca410
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 1

36 Robinhood Dr
Etters, PA 17319-9528
Phone (717) 388-7300

Other practice location 2

1201 Letort Springs Way
Carlisle, PA 17015-8011
Phone (717) 674-7600

Other practice location 3

14781 Wolfe Rd
New Freedom, PA 17349-9571
Phone (717) 326-1880

Other practice location 4

503 N 21st St
Camp Hill, PA 17011-2204
Phone (717) 763-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250501000612 PA Practitioner - Nurse Practitioner 3779009816 Reassigns benefits to 1 organization
I20260421000500 FL Practitioner - Nurse Practitioner 3779009816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 234-2561

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP031908PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince May 1, 2025 Accepting new patients
Wellspan Medical Group Nurse Practitioner CurrentSince Mar 23, 2026 Accepting new patients
Wellspan Medical Group CurrentSince Mar 23, 2026 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

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.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1932993375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "address_2": "MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251210",
            "telephone_number": "717-981-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Robinhood Dr",
            "address_purpose": "LOCATION",
            "city": "Etters",
            "state": "PA",
            "postal_code": "173199528",
            "country_code": "US",
            "telephone_number": "717-388-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Letort Springs Way",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170158011",
            "country_code": "US",
            "telephone_number": "717-674-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14781 Wolfe Rd",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173499571",
            "country_code": "US",
            "telephone_number": "717-326-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 N 21st St",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112204",
            "country_code": "US",
            "telephone_number": "717-763-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ RIVERO",
        "first_name": "JESUS",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-09",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP031908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

Verify at the official NPI Registry.