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MISTY M ROMERO RIVERA APNP
NPI 1154828226
Nurse Practitioner - Pediatrics in Beaver Dam, WI

Active since April 06, 2018PECOS Enrolled
109 WARREN ST STE 4, BEAVER DAM, WI 53916(608) 915-0150(608) 203-1027 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Misty M Romero Rivera Apnp NPPES

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

MISTY M ROMERO RIVERA APNP (NPI 1154828226) is an individual pediatrics provider in Beaver Dam, Wisconsin, licensed in Wisconsin (8307-33) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1154828226
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMISTY M ROMERO RIVERACredential: APNP
Location Address109 WARREN ST STE 4Beaver Dam, WI 53916-3082
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 915-0150
Fax(608) 203-1027
Sole ProprietorNo
Enumeration DateApril 6, 2018
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1154828226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WI · 8307-33
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 8307-33 (WI)
109 WARREN ST STE 4, Beaver Dam, WI 53916
Open in Google Maps ↗

Secondary Practice Location 1

Location 12202 S Park StMadison, WI 53713-1916 · Phone (608) 443-5480

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan 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 (PECOS)

Misty M Romero Rivera Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Misty Romero Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Wisconsin Medical Foundation, Inc
43 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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 53916 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

COMMUNITY PEDIATRICS SC
Pediatrics
109 WARREN ST STE 4
BEAVER DAM, WI 53916
Dodge County (920) 885-3305
JAY M MIESFELD M.D.
Pediatrics
109 WARREN ST STE 4
BEAVER DAM, WI 53916
Dodge County (920) 885-3305
MS. KAITLYN N PUFAHL CPNP
Nurse Practitioner (Pediatrics)
109 WARREN ST STE 4
BEAVER DAM, WI 53916
Dodge County (920) 885-3305

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 Misty Romero Rivera's NPI number?

The NPI number for Misty Romero Rivera is 1154828226. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Misty Romero Rivera located?

Misty Romero Rivera practices at 109 Warren St Ste 4, Beaver Dam, WI 53916. The listed phone number is (608) 915-0150.

What is Misty Romero Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Misty Romero Rivera enrolled in Medicare?

Yes. Misty Romero Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Misty Romero Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Romero Rivera reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). The 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 Misty Romero Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Romero Rivera accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, Quartz and Security Health Plan list Misty Romero Rivera 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 Misty Romero Rivera was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.