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ERICA LEE RIVENBARK CRNP
NPI 1326929969
Nurse Practitioner - Family in Dothan, AL

Active since September 10, 2025PECOS EnrolledAccepts Medicare Assignment
105 PROFESSIONAL LN, DOTHAN, AL 36303(334) 699-1419 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Sep 10, 2025 (2 updates tracked since 2025).

About Erica Lee Rivenbark Crnp NPPES

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

ERICA LEE RIVENBARK CRNP (NPI 1326929969) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-191912) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326929969
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA LEE RIVENBARKCredential: CRNP
Location Address105 PROFESSIONAL LNDothan, AL 36303-3875
Mailing Address105 Professional LnDothan, AL 36303-3875 · (334) 699-1419
Phone(334) 699-1419
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 10, 2025
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1326929969 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
License✔ Licensed in AL · 1-191912
105 PROFESSIONAL LN, Dothan, AL 36303
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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

Erica Lee Rivenbark Crnp 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 ID5991281107
PECOS Enrollment IDI20260107003879
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36303 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 4

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

JOHN H GORDON DO LLC
Obstetrics & Gynecology
105 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 699-1419
DR. JONATHAN L. SKINNER M.D.
Surgery
105 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 699-0060
L. DWIGHT BAKER, M.D., P.C.
Surgery (Plastic and Reconstructive Surgery)
105 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 793-3113
JOHN HAMISH GORDON D.O.
Obstetrics & Gynecology
105 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 699-1419

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 Erica Rivenbark's NPI number?

The NPI number for Erica Rivenbark is 1326929969. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Erica Rivenbark located?

Erica Rivenbark practices at 105 Professional Ln, Dothan, AL 36303. The listed phone number is (334) 699-1419.

What is Erica Rivenbark's specialty?

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

Is Erica Rivenbark enrolled in Medicare?

Yes. Erica Rivenbark 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.

When was this NPI record last updated?

The NPPES record for Erica Rivenbark was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.