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DR. HENRY R. RIVERA JR. ACNP, AOCNP
NPI 1518005107
Nurse Practitioner in Port Richey, FL

Active since February 03, 2007PECOS EnrolledAccepts Medicare Assignment
11626 NEWELL DR, PORT RICHEY, FL 34668(813) 969-0104 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Henry R. Rivera Jr. Acnp, Aocnp NPPES

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

DR. HENRY R. RIVERA JR. ACNP, AOCNP (NPI 1518005107) is an individual nurse practitioner in Port Richey, Florida, licensed in Florida (9177520) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2004).

NPPES Registry Identity

NPI1518005107
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. HENRY R. RIVERA JR.Credential: ACNP, AOCNP
Location Address11626 NEWELL DRPort Richey, FL 34668-1541
Mailing Address11626 Newell DrPort Richey, FL 34668-1541 · (813) 969-0104
Phone(813) 969-0104
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2004
Enumeration DateFebruary 3, 2007
Last NPPES UpdateNovember 23, 2022
NPPES CertifiedNovember 23, 2022
✔ NPI 1518005107 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 FL · 9177520
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.
11626 NEWELL DR, Port Richey, FL 34668
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Henry R. Rivera Jr. Acnp, Aocnp 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 ID5991877243
PECOS Enrollment IDI20240221000762
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

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.

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.
39 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34668 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

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.
64%1,097 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
35%102 patients1/55-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.

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 Henry Rivera's NPI number?

The NPI number for Henry Rivera is 1518005107. It was assigned to this individual provider in the NPPES registry on February 3, 2007.

Where is Henry Rivera located?

Henry Rivera practices at 11626 Newell Dr, Port Richey, FL 34668. The listed phone number is (813) 969-0104.

What is Henry Rivera's specialty?

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

Is Henry Rivera enrolled in Medicare?

Yes. Henry 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 Henry Rivera accept?

Health plans from BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Moda Health Plan, Inc. and Providence Health Plan and 1 other insurer list Henry 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.

When was this NPI record last updated?

The NPPES record for Henry Rivera was last updated on November 23, 2022. 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.