MRS. NICOLE T RIVERA P.A.,C.
NPI 1205002151
Physician Assistant - Medical in Woodstock, GA

Q: What is Nicole Rivera's NPI number?

The NPI number for Nicole Rivera is 1205002151. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Q: What is Nicole Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Rivera was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment

79.88/100

CMS Quality Rating

900 TOWNE LAKE PKWY, SUITE 308, WOODSTOCK, GA 30189(770) 926-5459(770) 926-4421 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2017, Sep 28, 2016 (2 updates tracked since 2016).

On this page

About Mrs. Nicole T Rivera P.a.,c. NPPES

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

MRS. NICOLE T RIVERA P.A.,C. (NPI 1205002151) is an individual medical provider in Woodstock, Georgia, licensed in Georgia (005226) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1205002151

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. NICOLE T RIVERACredential: P.A.,C.

Location Address900 TOWNE LAKE PKWY, SUITE 308Woodstock, GA 30189-1602

Mailing Address1355 Peachtree St Ne, Suite 1600Atlanta, GA 30309-3212 · (678) 223-7774 · Fax (678) 223-7799

Phone(770) 926-5459

Fax(770) 926-4421

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 1, 2008

Last NPPES UpdateApril 19, 20172 updates tracked since enumeration

✔ NPI 1205002151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 005226

900 TOWNE LAKE PKWY, Woodstock, GA 30189

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Nicole T Rivera P.a.,c. 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 ID4486724895

PECOS Enrollment IDI20080528000237

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

356 services245 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

139 services125 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

93 services93 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.48

Promoting Interoperability

Improvement Activities

Cost

78.12

Other Providers at the Same Location NPPES 14

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

CHHAVI V NOOHANI DO

Family Medicine

900 TOWNE LAKE PKWY, STE. 104
WOODSTOCK, GA 30189

Cherokee County (770) 639-5880

GRANT COLLINS WOLFE M.D.

Surgery

900 TOWNE LAKE PKWY, SUITE 412
WOODSTOCK, GA 30189

Cherokee County (770) 924-9656

MRS. MICHELLE KING CLARDY PA-C

Physician Assistant

900 TOWNE LAKE PKWY, STE 404
WOODSTOCK, GA 30189

Cherokee County (770) 926-9229

DR. CESAR ISAAC CRUZ AGUILAR M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

900 TOWNE LAKE PKWY, STE 400
WOODSTOCK, GA 30189

Cherokee County (770) 924-5095

GEORGIA UROLOGY PA

Urology

900 TOWNE LAKE PKWY, SUITE 200
WOODSTOCK, GA 30189

Cherokee County (678) 494-9201

JORGE L LOPEZ PAC

Physician Assistant

900 TOWNE LAKE PKWY, SUITE 400
WOODSTOCK, GA 30189

Cherokee County (770) 924-5095

DR. ROBIN LOE MD

Family Medicine

900 TOWNE LAKE PKWY, STE 410
WOODSTOCK, GA 30189

Cherokee County (678) 445-0819

ASHLEY M ABBOTT MD

Internal Medicine (Rheumatology)

900 TOWNE LAKE PKWY
WOODSTOCK, GA 30189

Cherokee County (770) 852-7790

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 Nicole Rivera's NPI number?

The NPI number for Nicole Rivera is 1205002151. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Nicole Rivera located?

Nicole Rivera practices at 900 Towne Lake Pkwy Suite 308, Woodstock, GA 30189. The listed phone number is (770) 926-5459.

What is Nicole Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Rivera enrolled in Medicare?

Yes. Nicole Rivera 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.

What insurance does Nicole Rivera accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nicole 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.

Is Nicole Rivera affiliated with any hospitals?

According to CMS data, Nicole Rivera is affiliated with Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Rivera was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.