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

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: July 19, 2026.

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

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
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

Secondary Practice Locations 2

Location 14777 E Galbraith RdCincinnati, OH 45236-2725 · Phone (513) 686-5890
Location 23533 Southern Blvd Ste 2100Kettering, OH 45429-1267 · Phone (937) 395-8556 · Fax (937) 395-6376

Accepted Insurance

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

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.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Internal Medicine (Sleep Medicine)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Nurse Practitioner (Family)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Audiologist
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Physician Assistant
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Nurse Practitioner (Gerontology)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Obstetrics & Gynecology (Gynecologic Oncology)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Otolaryngology
2960 MACK RD STE 200
FAIRFIELD, OH 45014

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 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.

Where is Stephanie Altick Rivera located?

Stephanie Altick Rivera practices at 2960 Mack Rd Ste 200, Fairfield, OH 45014. The listed phone number is (513) 421-3494.

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.

Is Stephanie Altick Rivera enrolled in Medicare?

Yes. Stephanie Altick 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.

What insurance does Stephanie Altick Rivera accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Stephanie Altick Rivera 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.

Is Stephanie Altick Rivera affiliated with any hospitals?

According to CMS data, Stephanie Altick Rivera is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Altick Rivera was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.