MRS. MALLORY RENEE RIVERA NP
NPI 1124723390
Nurse Practitioner - Family in Monterey, CA

Q: What is Mallory Rivera's NPI number?

The NPI number for Mallory Rivera is 1124723390. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Mallory Rivera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mallory Rivera was last updated on June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2023PECOS EnrolledAccepts Medicare Assignment

501 LIGHTHOUSE AVE, MONTEREY, CA 93940(831) 649-0770 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Mallory Renee Rivera Np NPPES

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

MRS. MALLORY RENEE RIVERA NP (NPI 1124723390) is an individual family provider in Monterey, California, licensed in California (95024093) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124723390

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MALLORY RENEE RIVERACredential: NP

Location Address501 LIGHTHOUSE AVEMonterey, CA 93940-1439

Mailing Address100 Wilson Rd Ste 100Monterey, CA 93940-7885 · (831) 649-1000

Phone(831) 649-0770

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 4, 2023

Last NPPES UpdateJune 29, 2023

NPPES CertifiedJune 29, 2023

✔ NPI 1124723390 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 CA · 95024093

501 LIGHTHOUSE AVE, Monterey, CA 93940

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mallory Renee Rivera 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 ID9133587207

PECOS Enrollment IDI20230621003382

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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

$94.44 typical visit price

range $61.69 – $184.30

Typical copayment $23.61 (range $15.42 – $46.07)

Most-billed visit code 99203

Established Patient

$108.04 typical visit price

range $20.34 – $151.02

Typical copayment $27.01 (range $5.08 – $37.75)

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 20

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

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