JASON RIVERA FNP
NPI 1114560950
Nurse Practitioner - Family in Laredo, TX

Active since October 24, 2019PECOS Enrolled
1419 CLARK BLVD, LAREDO, TX 78040(956) 723-0039 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2023, Oct 24, 2019 (2 updates tracked since 2019).

About Jason Rivera Fnp NPPES

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

JASON RIVERA FNP (NPI 1114560950) is an individual family provider in Laredo, Texas, licensed in Texas (1126707) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114560950
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJASON RIVERACredential: FNP
Location Address1419 CLARK BLVDLaredo, TX 78040-3417
Mailing Address228 Sevilla LoopLaredo, TX 78043-4152 · (956) 307-0318
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 24, 2019
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1114560950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1126707
1419 CLARK BLVD, Laredo, TX 78040

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jason Rivera Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507377579
PECOS Enrollment IDI20250617000817
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78040 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

Family Medicine
1419 CLARK BLVD
LAREDO, TX 78040
Family Medicine
1419 CLARK BLVD
LAREDO, TX 78040

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 Jason Rivera's NPI number?

The NPI number for Jason Rivera is 1114560950. It was assigned to this individual provider in the NPPES registry on October 24, 2019.

Where is Jason Rivera located?

Jason Rivera practices at 1419 Clark Blvd, Laredo, TX 78040. The listed phone number is (956) 723-0039.

What is Jason Rivera's specialty?

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

Is Jason Rivera enrolled in Medicare?

Yes. Jason Rivera is registered in the Medicare PECOS enrollment system.

Is Jason Rivera affiliated with any hospitals?

According to CMS data, Jason Rivera is affiliated with Laredo Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Rivera was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.