Tarsha Rivens, MPAS PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-00834 Issued in NC

Practice address

101 SW Cary Pkwy Ste 210
Cary, NC 27511-5588

Phone

(919) 467-8556

NPI assigned

Mar 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cary Dermatology Center PAGroup PAC ID 7911981956, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: trwilliams@directaddress.net

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.

• Cary Dermatology Center, P.a.

  • Health Service Clinic/Center
  • Cary, NC
  • NPI 1942201488
  Medicare reassignment Care Compare group
• Atlantic Radiology Associates PA

  • Diagnostic Radiology Physician
  • Goldsboro, NC
  • NPI 1184656936
  NPD (past)
• The Dermatology Center of Raleigh

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1295930865
  NPD (past)
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1972775328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 WOODLAKE PL APT 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077540",
            "telephone_number": "919-215-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SW CARY PKWY STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115588",
            "telephone_number": "919-467-8556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Pine State St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275469428",
            "country_code": "US",
            "telephone_number": "910-893-9700",
            "fax_number": "910-893-9747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 McHenry Ave Ste 470",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504572",
            "country_code": "US",
            "telephone_number": "209-578-5072",
            "fax_number": "209-578-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVENS",
        "first_name": "TARSHA",
        "name_prefix": "Miss",
        "credential": "MPAS PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "60726",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-00834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Riley, RBT
• Isabel Nevaeh Rios
• Michelle Brosemer Rissling, PHD
• Kelly W Ritter, DDS, MS
• Emily Rivenbark, RN CDE
• River Hills Counseling Services
• Yarismar Rivera Rios
• Jennifer Rivera-Bermudez
• Alfredo Rivera Jr., LCMHC, NCC
• Angel Rivera, LMBT

• Medical Physician Assistant in Cary, NC
• Providers in Cary, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.