STEPHANIE MARIE ALTICK RIVERA APRN-CNP
NPI 1487417374
Nurse Practitioner - Acute Care in Fairfield, OH

Q: What is Stephanie Altick Rivera's NPI number?

The NPI number for Stephanie Altick Rivera is 1487417374. It was assigned to this individual provider in the NPPES registry on February 2, 2024.

Q: What is Stephanie Altick Rivera's specialty?

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

Active since February 02, 2024PECOS EnrolledAccepts Medicare Assignment

2960 MACK RD STE 200, FAIRFIELD, OH 45014(513) 421-3494(513) 867-3241 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2025, Apr 18, 2024 (2 updates tracked since 2024).

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About Stephanie Marie Altick Rivera Aprn-cnp NPPES

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

STEPHANIE MARIE ALTICK RIVERA APRN-CNP (NPI 1487417374) is an individual acute care provider in Fairfield, Ohio, licensed in Ohio (315910) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487417374

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSTEPHANIE MARIE ALTICK RIVERACredential: APRN-CNP

Location Address2960 MACK RD STE 200Fairfield, OH 45014-5300

Mailing Address2960 Mack Rd Ste 200Fairfield, OH 45014-5300 · (513) 421-3494 · Fax (513) 867-3241

Phone(513) 421-3494

Fax(513) 867-3241

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 2, 2024

Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1487417374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · 315910

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License APRN.CNP.0035809 (OH)

2960 MACK RD STE 200, Fairfield, OH 45014

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Secondary Practice Locations 2

Location 13533 Southern Blvd Ste 2100Kettering, OH 45429-1267 · Phone (937) 395-8556 · Fax (937) 395-6376

Location 24777 E Galbraith RdCincinnati, OH 45236-2725 · Phone (513) 686-5890

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Stephanie Marie Altick Rivera Aprn-cnp 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 ID2567904428

PECOS Enrollment IDI20240606001848

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

Medicare enrollment records show Stephanie Altick Rivera reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Cincinnati Specialty Care LLC

8.8 mi

Surgery

4600 MCAULEY PL STE 600
Blue Ash, OH 45242

Reassigned Medicare billing, Ohio enrollment
481 clinicians in this Medicare group

NPI 1154942795 (888) 696-3541

Kettering Independent Medical Group Inc

27 mi

Orthopaedic Surgery

1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342

Reassigned Medicare billing, Ohio enrollment
984 clinicians in this Medicare group

NPI 1629387865 (937) 762-1629

Five Rivers Health Centers

34 mi

Internal Medicine

921 S. EDWIN C. MOSES BLVD.
Dayton, OH 45417

Reassigned Medicare billing, Ohio enrollment
85 clinicians in this Medicare group

NPI 1356721286 (937) 734-6844

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 9

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

DR. DENE COURTNEY WRENN MD

Obstetrics & Gynecology (Gynecologic Oncology)