Individual provider Active NPI

Mariah Rivas, APRN

  • Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1982477956
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11038432 Issued in FL
Practice address
2400 N Orange Blossom TRL Ste 302
Kissimmee, FL 34744-2308
Phone
(407) 932-6193
Fax
(407) 932-6194
NPI assigned
Nov 1, 2023
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11038432 FL Primary
Nurse Practitioner 363L00000X 82646 KS
Family Nurse Practitioner 363LF0000X APRN11038432 FL

Addresses

Primary practice location

2400 N Orange Blossom TRL Ste 302
Kissimmee, FL 34744-2308

Mailing address

2040 Hutton Rd
Kansas City, KS 66109-4526
Phone (913) 299-3700

Other practice location 1

5900 S John Young Pkwy
Orlando, FL 32839-3716
Phone (866) 550-2212

Other practice location 2

2040 Hutton Rd
Kansas City, KS 66109-4526
Phone (913) 299-3700

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
I20250611000792 FL Practitioner - Nurse Practitioner 0042660482 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians

Practice addresses (Care Compare)

10970 Cross Creek Blvd
Suite D
Tampa, FL 33647-4056
Phone (813) 369-5969

2400 N Orange Blossom TRL
Suite 302
Kissimmee, FL 34744-2308
Phone (407) 932-6193

5900 S John Young Pkwy
Orlando, FL 32839-3716
Phone (866) 550-2212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11038432FLMDNurse Practitioner
82646KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travel Doctor, PL CurrentSince Dec 5, 2025 Accepting new patients
The Clinicians, LLC CurrentSince Dec 5, 2025 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jun 4, 2025 Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (305) 766-5681

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

1515 Park Center Dr
Unit J
Orlando, FL 32835
Phone (321) 662-1649

5900 S John Young Pkwy
Orlando, FL 32839
Phone (407) 398-6470

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1982477956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094526",
            "telephone_number": "913-299-3700",
            "fax_number": "913-299-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-932-6193",
            "fax_number": "407-932-6194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 S John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328393716",
            "country_code": "US",
            "telephone_number": "866-550-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Hutton Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661094526",
            "country_code": "US",
            "telephone_number": "913-299-3700",
            "fax_number": "913-299-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "MARIAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11038432",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "82646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.