ERICA LEE RIVENBARK CRNP
NPI 1326929969
Nurse Practitioner - Family in Dothan, AL
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Erica Rivenbark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dothan, AL 36303
- Reassigned Medicare billing, Alabama enrollment
- 2 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.
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.
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.
DOTHAN, AL 36303
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.
Which organization bills Medicare for Erica Rivenbark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Rivenbark reassigns Medicare benefits to John H Gordon Do LLC (Dothan, AL). The 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 Erica Rivenbark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erica Rivenbark accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Erica Rivenbark 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 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 6 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.
# Erica Lee Rivenbark, CRNP · NPI 1326929969
Family physician in Dothan, Alabama. Individual provider, active in the CMS NPPES registry since September 10, 2025.
## Identity
- **NPI:** 1326929969 (Entity type: Individual)
- **Enumerated:** September 10, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-191912 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 PROFESSIONAL LN, Dothan, AL 36303-3875
- **Phone:** (334) 699-1419
## 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:** John H Gordon Do LLC (NPI 1356033013, Dothan, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1326929969) · Data from the CMS NPPES public registry.