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ANN RIVERA CRNP
NPI 1407635170
Nurse Practitioner - Acute Care in Wynnewood, PA

Active since September 22, 2023PECOS Enrolled
100 E LANCASTER AVE # MSB75, WYNNEWOOD, PA 19096(484) 572-0171(484) 476-1395 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ann Rivera Crnp NPPES

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

ANN RIVERA CRNP (NPI 1407635170) is an individual acute care provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (SP02859) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407635170
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameANN RIVERACredential: CRNP
Location Address100 E LANCASTER AVE # MSB75Wynnewood, PA 19096-3450
Mailing Address2398 Donna LnPottstown, PA 19464-2635 · (610) 416-4244
Phone(484) 572-0171
Fax(484) 476-1395
Sole ProprietorNo
Enumeration DateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1407635170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP02859
100 E LANCASTER AVE # MSB75, Wynnewood, PA 19096
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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 (PECOS)

Ann Rivera Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ann Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Main Line Healthcare
7.7 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585

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 19096 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

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

WASSIM G EL-HABRE MD
Surgery (Trauma Surgery)
100 E LANCASTER AVE # MSB75
WYNNEWOOD, PA 19096
Montgomery County (484) 572-0180

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 Ann Rivera's NPI number?

The NPI number for Ann Rivera is 1407635170. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Where is Ann Rivera located?

Ann Rivera practices at 100 E Lancaster Ave # Msb75, Wynnewood, PA 19096. The listed phone number is (484) 572-0171.

What is Ann Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ann Rivera enrolled in Medicare?

Yes. Ann Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ann Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Rivera reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). 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 Ann 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 Ann Rivera was last updated on September 22, 2023. 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.