MRS. LISA J RIVERA APN
NPI 1245852631
Nurse Practitioner - Family in West Columbia, SC
About Mrs. Lisa J Rivera Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LISA J RIVERA APN (NPI 1245852631) is an individual family provider in West Columbia, South Carolina, licensed in South Carolina (25651) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Lisa J Rivera Apn 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.
Medicare Billing Reassignments
5Medicare enrollment records show Lisa Rivera reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sumter, SC 29150
- Reassigned Medicare billing, South Carolina enrollment
- 2 clinicians in this Medicare group
Spartanburg, SC 29302
- Reassigned Medicare billing, South Carolina enrollment
- 3 clinicians in this Medicare group
North Charleston, SC 29406
- Reassigned Medicare billing, South Carolina enrollment
- 12 clinicians in this Medicare group
Cincinnati, OH 45236
- Reassigned Medicare billing, South Carolina enrollment
- 45 clinicians in this Medicare group
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Centrastate Specialists, PC
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST COLUMBIA, SC 29169
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 Lisa Rivera's NPI number?
The NPI number for Lisa Rivera is 1245852631. It was assigned to this individual provider in the NPPES registry on May 8, 2020.
Where is Lisa Rivera located?
Lisa Rivera practices at 176 Mcswain Dr, West Columbia, SC 29169. The listed phone number is (803) 767-4465.
What is Lisa Rivera's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Rivera enrolled in Medicare?
Yes. Lisa 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.
Which organizations bill Medicare for Lisa Rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Rivera reassigns Medicare benefits to 5 organizations: Crescent Health Partners (Sumter, SC), Bevid Health LLC (Spartanburg, SC), Hyper Healing (North Charleston, SC), Health Providers Of America, LLC (Cincinnati, OH) and Centrastate Specialists, P.C. (Freehold, NJ). Each 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 Lisa Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Rivera accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Lisa 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 Lisa Rivera was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Lisa J Rivera, APN · NPI 1245852631
Family physician in West Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since May 8, 2020.
## Identity
- **NPI:** 1245852631 (Entity type: Individual)
- **Enumerated:** May 8, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 25651 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 176 MCSWAIN DR, West Columbia, SC 29169-4825
- **Phone:** (803) 767-4465
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Crescent Health Partners (NPI 1568207702, Sumter, SC); Bevid Health LLC (NPI 1982395521, Spartanburg, SC); Hyper Healing (NPI 1508381567, North Charleston, SC); Health Providers Of America, LLC (NPI 1316560972, Cincinnati, OH); Centrastate Specialists, P.C. (NPI 1700389301, Freehold, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245852631) · Data from the CMS NPPES public registry.