MR. CARLOS RIVERA FNP-BC
NPI 1265738942
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Carlos Rivera's NPI number?

The NPI number for Carlos Rivera is 1265738942. It was assigned to this individual provider in the NPPES registry on January 28, 2011.

Q: What is Carlos 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 Carlos Rivera was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since January 28, 2011PECOS EnrolledAccepts Medicare Assignment

24 W CAMELBACK RD STE A262, PHOENIX, AZ 85013(623) 377-2747 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, Jun 4, 2019, Aug 9, 2016 (3 updates tracked since 2016).

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About Mr. Carlos Rivera Fnp-bc NPPES

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

MR. CARLOS RIVERA FNP-BC (NPI 1265738942) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP8840) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265738942

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. CARLOS RIVERACredential: FNP-BC

Location Address24 W CAMELBACK RD STE A262Phoenix, AZ 85013-2529

Mailing Address24 W Camelback Rd Ste A262Phoenix, AZ 85013-2529 · (623) 377-2747

Phone(623) 377-2747

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 28, 2011

Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1265738942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP8840

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN157120 (AZ)

24 W CAMELBACK RD STE A262, Phoenix, AZ 85013

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Other Identifiers 1

Medicaid168809AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..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

Mr. Carlos Rivera Fnp-bc 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 ID840585931

PECOS Enrollment IDI20160829001949

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

113 services61 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

57 services57 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

41 services38 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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 Carlos Rivera's NPI number?

The NPI number for Carlos Rivera is 1265738942. It was assigned to this individual provider in the NPPES registry on January 28, 2011.

Where is Carlos Rivera located?

Carlos Rivera practices at 24 W Camelback Rd Ste A262, Phoenix, AZ 85013. The listed phone number is (623) 377-2747.

What is Carlos Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carlos Rivera enrolled in Medicare?

Yes. Carlos 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 Carlos Rivera accept?

Health plans from Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Carlos 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 Carlos Rivera was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.