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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAJACQUA RIVERS NP
NPI 1063113660
Nurse Practitioner - Family in Humboldt, TN

Active since March 13, 2023PECOS EnrolledAccepts Medicare Assignment
2634 N CENTRAL AVE, HUMBOLDT, TN 38343(731) 324-1526(731) 324-1534 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Nov 5, 2024, Sep 17, 2024 and 1 more (4 updates tracked since 2023).

About Lajacqua Rivers Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAJACQUA RIVERS NP (NPI 1063113660) is an individual family provider in Humboldt, Tennessee, licensed in Tennessee (37150) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063113660
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAJACQUA RIVERSCredential: NP
Location Address2634 N CENTRAL AVEHumboldt, TN 38343-1534
Mailing Address11 Rushwood DrJackson, TN 38305-2145 · (731) 326-0516
Phone(731) 324-1526
Fax(731) 324-1534
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 13, 2023
Last NPPES UpdateSeptember 30, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1063113660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 37150
Also ListedRegistered NurseTaxonomy 163W00000X · License 0000242729 (TN)
2634 N CENTRAL AVE, Humboldt, TN 38343
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Secondary Practice Locations 2

Location 13131 N Highland AveJackson, TN 38305-3418 · Phone (731) 394-1145
Location 211 Rushwood DrJackson, TN 38305-2145 · Phone (731) 326-0516

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lajacqua Rivers Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810423787
PECOS Enrollment IDI20241216002566
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Lajacqua Rivers reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

45 Urgent Care, P.C.
10 mi
Family Medicine
149 N STAR DR
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: 45 Urgent Care PC
  • 11 clinicians in this Medicare group
NPI 1912326539 (731) 554-0571
Fast Pace Medical Clinic PLLC
114 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006
Ultra Health LLC
122 mi
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Tennessee enrollment
  • 44 clinicians in this Medicare group
NPI 1922469543 (731) 394-1145
Ultra Health Providers II LLC
122 mi
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Tennessee enrollment
  • 45 clinicians in this Medicare group
NPI 1033956057 (731) 394-1145

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Rural Health)
2634 N CENTRAL AVE
HUMBOLDT, TN 38343
Gibson County (731) 324-1526
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Urgent Care)
2634 N CENTRAL AVE
HUMBOLDT, TN 38343
Gibson County (731) 324-1526
COLTON N SIMBECK NP
Nurse Practitioner (Family)
2634 N CENTRAL AVE
HUMBOLDT, TN 38343
Gibson County (731) 324-1526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lajacqua Rivers's NPI number?

The NPI number for Lajacqua Rivers is 1063113660. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Lajacqua Rivers located?

Lajacqua Rivers practices at 2634 N Central Ave, Humboldt, TN 38343. The listed phone number is (731) 324-1526.

What is Lajacqua Rivers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lajacqua Rivers enrolled in Medicare?

Yes. Lajacqua Rivers is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lajacqua Rivers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lajacqua Rivers reassigns Medicare benefits to 4 organizations: 45 Urgent Care, P.C. (Jackson, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN), Ultra Health LLC (Nashville, TN) and Ultra Health Providers II LLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lajacqua Rivers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lajacqua Rivers accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Lajacqua Rivers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lajacqua Rivers was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.