PRISCILLA ANN RIVERA APN
NPI 1417653601
Nurse Practitioner - Primary Care in East Orange, NJ

Active since January 31, 2023PECOS EnrolledAccepts Medicare Assignment
613 PARK AVE FL 2, EAST ORANGE, NJ 07017(973) 672-8573(973) 675-0040 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Jan 31, 2023 (2 updates tracked since 2023).

About Priscilla Ann Rivera Apn NPPES

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

PRISCILLA ANN RIVERA APN (NPI 1417653601) is an individual primary care provider in East Orange, New Jersey, licensed in New Jersey (26NJ15305500) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417653601
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NamePRISCILLA ANN RIVERACredential: APN
Location Address613 PARK AVE FL 2East Orange, NJ 07017-1905
Mailing Address613 Park Ave Fl 2East Orange, NJ 07017-1905 · (973) 672-8573 · Fax (973) 675-0040
Fax(973) 675-0040
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 31, 2023
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
NPI 1417653601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NJ · 26NJ15305500
Also ListedRegistered NurseTaxonomy 163W00000X · License 798247 (NY)
613 PARK AVE FL 2, East Orange, NJ 07017

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

Priscilla Ann Rivera Apn 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 ID1850807173
PECOS Enrollment IDI20250723000509
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 07017 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 2

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

Dietitian, Registered
613 PARK AVE FL 2
EAST ORANGE, NJ 07017
Internal Medicine
613 PARK AVE FL 2
EAST ORANGE, NJ 07017

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 Priscilla Rivera's NPI number?

The NPI number for Priscilla Rivera is 1417653601. It was assigned to this individual provider in the NPPES registry on January 31, 2023.

Where is Priscilla Rivera located?

Priscilla Rivera practices at 613 Park Ave Fl 2, East Orange, NJ 07017. The listed phone number is (973) 672-8573.

What is Priscilla Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Priscilla Rivera enrolled in Medicare?

Yes. Priscilla 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.

When was this NPI record last updated?

The NPPES record for Priscilla Rivera was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.