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MR. FRANCISCO M. RIVERA FNP,ACNP
NPI 1487742037
Nurse Practitioner in Tyler, TX

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
619 S FLEISHEL AVE, TYLER, TX 75701(903) 595-5514 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Francisco M. Rivera Fnp,acnp NPPES

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

MR. FRANCISCO M. RIVERA FNP,ACNP (NPI 1487742037) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (658568) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1487742037
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. FRANCISCO M. RIVERACredential: FNP,ACNP
Location Address619 S FLEISHEL AVETyler, TX 75701-2004
Mailing Address619 S Fleishel AveTyler, TX 75701-2004 · (903) 595-5514
Phone(903) 595-5514
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 10, 2009
✔ NPI 1487742037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 658568
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

619 S FLEISHEL AVE, Tyler, TX 75701
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Other Identifiers 5

Medicaid191707201TX
Medicare PIN8J3563TX
Other8Y1349TX · Bcbs Of Texas
OtherP00610118Railroad Medicare
Medicare UPINQ77879

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mr. Francisco M. Rivera Fnp,acnp 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 ID8224130893
PECOS Enrollment IDI20070228000411
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
450 services283 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
423 services262 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services20 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX
OwnershipProprietary
CMS Certification Number450475
Location300 Wilson StreetHenderson, TX 75652 · Rusk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
91%604 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%123 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%431 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
79%520 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 628 patients
Patients tobacco: 21% · 114 patients
96%23 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%520 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%520 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 74 patients
3%74 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

LUIS R. ARCE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
619 S FLEISHEL AVE, STE 327
TYLER, TX 75701
Smith County (903) 510-1173
SHELBY YOUNG WAGER RD
Dietitian, Registered
619 S FLEISHEL AVE, STE 327
TYLER, TX 75701
Smith County (903) 510-1173
KYLEE CARVER PA-C
Physician Assistant
619 S FLEISHEL AVE
TYLER, TX 75701
Smith County (844) 606-3627
DR. TODD P SMITH MD
Surgery (Vascular Surgery)
619 S FLEISHEL AVE, STE 203
TYLER, TX 75701
Smith County (903) 525-1400
JESSICA LYNN THOMPSON NP
Nurse Practitioner (Family)
619 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-2830
JOSEPH M ZASIK DO
Internal Medicine (Critical Care Medicine)
619 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-2299
DR. SYLVIA A KARIAMPUZHA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
619 S FLEISHEL AVE, STE 327
TYLER, TX 75701
Smith County (903) 510-1173
JOHN DANIEL JACKMAN MD
Internal Medicine (Cardiovascular Disease)
619 S FLEISHEL AVE, SUITE 101
TYLER, TX 75701
Smith County (903) 595-5514

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 Francisco Rivera's NPI number?

The NPI number for Francisco Rivera is 1487742037. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Francisco Rivera located?

Francisco Rivera practices at 619 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 595-5514.

What is Francisco Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Francisco Rivera enrolled in Medicare?

Yes. Francisco 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 Francisco Rivera accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Francisco 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 Francisco Rivera affiliated with any hospitals?

According to CMS data, Francisco Rivera is affiliated with Ut Health East Texas Tyler Regional Hospital and Ut Health East Texas Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Francisco Rivera was last updated on July 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.