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BRENDA JOSEPHINE RIVERA NP
NPI 1285925826
Nurse Practitioner - Women's Health in Virginia Beach, VA

Active since May 01, 2011PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1181 FIRST COLONIAL RD STE 200, VIRGINIA BEACH, VA 23454(757) 425-1600 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brenda Josephine Rivera Np NPPES

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

BRENDA JOSEPHINE RIVERA NP (NPI 1285925826) is an individual women's health provider in Virginia Beach, Virginia, licensed in Virginia (0024169364) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285925826
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameBRENDA JOSEPHINE RIVERACredential: NP
Location Address1181 FIRST COLONIAL RD STE 200Virginia Beach, VA 23454-2437
Mailing Address1181 First Colonial Rd Ste 200Virginia Beach, VA 23454-2437 · (757) 425-1600
Phone(757) 425-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 1, 2011
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1285925826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in VA · 0024169364
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 0024169364 (VA)
1181 FIRST COLONIAL RD STE 200, Virginia Beach, VA 23454
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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

Brenda Josephine Rivera Np 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 ID7618136391
PECOS Enrollment IDI20140922001767
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brenda Rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-Atlantic Womens Care Plc
0.3 mi
Obstetrics & Gynecology
1080 FIRST COLONIAL RD STE 300
Virginia Beach, VA 23454
  • Reassigned Medicare billing, Virginia enrollment
  • 114 clinicians in this Medicare group
NPI 1699365072 (757) 481-7222
Privia Medical Group, LLC
151 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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.

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.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

SHADESIA NICHOLSON FNP-C
Nurse Practitioner (Family)
1181 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 425-1600
KATHERINE NEUFFER HINES M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1181 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 425-1600
EDITH HENDERSON MD
Obstetrics & Gynecology
1181 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 425-1600
WHITNEY FENTRESS WEBBER DO
Obstetrics & Gynecology
1181 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 425-1600
DR. KELSIE GOODWIN DO
Obstetrics & Gynecology
1181 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (269) 362-3246
MRS. HOLLY ROACH MCCABE MSN, WHNP-BC
Nurse Practitioner (Women's Health)
1181 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 425-1600
CHANELL TYNEALIA DORRIS FNP-C
Nurse Practitioner (Family)
1181 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 425-1600
DR. LE'NISHA STEPHANIE JOHNSON MD
Obstetrics & Gynecology
1181 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 425-1600

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 Brenda Rivera's NPI number?

The NPI number for Brenda Rivera is 1285925826. It was assigned to this individual provider in the NPPES registry on May 1, 2011.

Where is Brenda Rivera located?

Brenda Rivera practices at 1181 First Colonial Rd Ste 200, Virginia Beach, VA 23454. The listed phone number is (757) 425-1600.

What is Brenda Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Brenda Rivera enrolled in Medicare?

Yes. Brenda 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 Brenda Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Rivera reassigns Medicare benefits to 2 organizations: Mid-Atlantic Womens Care Plc (Virginia Beach, VA) and Privia Medical Group, LLC (Arlington, VA). 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 Brenda Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brenda Rivera was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.