JESSE N. RIVERA PA-C
NPI 1174404750
Physician Assistant in Newark, DE

Active since September 10, 2025PECOS Enrolled
4755 OGLETOWN STANTON RD STE 1E50, NEWARK, DE 19718(302) 733-1980(302) 733-1986 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse N. Rivera Pa-c NPPES

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

JESSE N. RIVERA PA-C (NPI 1174404750) is an individual physician assistant in Newark, Delaware, licensed in Delaware (C5-0012330) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174404750
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJESSE N. RIVERACredential: PA-C
Location Address4755 OGLETOWN STANTON RD STE 1E50Newark, DE 19718-2200
Mailing Address4755 Ogletown Stanton Rd Ste 1e50Newark, DE 19718-2200 · (302) 733-1980 · Fax (302) 733-1986
Fax(302) 733-1986
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 10, 2025
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1174404750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in DE · C5-0012330
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4755 OGLETOWN STANTON RD STE 1E50, Newark, DE 19718

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jesse N. Rivera Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173028826
PECOS Enrollment IDI20250924003338
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 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
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 16

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE 19718
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE 19718
Physician Assistant (Surgical)
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE 19718

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 Jesse Rivera's NPI number?

The NPI number for Jesse Rivera is 1174404750. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Jesse Rivera located?

Jesse Rivera practices at 4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718. The listed phone number is (302) 733-1980.

What is Jesse Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jesse Rivera enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jesse Rivera was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.