MRS. LISA J RIVERA APN
NPI 1245852631
Nurse Practitioner - Family in West Columbia, SC

Q: 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.

Q: What is Lisa 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 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 3 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 08, 2020PECOS EnrolledAccepts Medicare Assignment

176 MCSWAIN DR, WEST COLUMBIA, SC 29169(803) 767-4465 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, Jun 11, 2022, May 8, 2020 (3 updates tracked since 2020).

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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

NPI1245852631

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA J RIVERACredential: APN

Location Address176 MCSWAIN DRWest Columbia, SC 29169-4825

Mailing Address9275 Medical Plaza Dr Ste FNorth Charleston, SC 29406-9140 · (803) 767-4465 · Fax (803) 767-4120

Phone(803) 767-4465

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 8, 2020

Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration

NPPES CertifiedOctober 5, 2022

✔ NPI 1245852631 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

Licenses✔ Licensed in SC · 25651✔ Licensed in NJ · 26NJ01032600

176 MCSWAIN DR, West Columbia, SC 29169

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.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. 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.

PECOS PAC ID3971928912

PECOS Enrollment IDI20220215001807

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

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 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.

20 services13 patients

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.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 9

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

JEFFREY S. MOLLE MD

Surgery