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KATHLEEN RIVERA
NPI 1649722182
Case Manager/Care Coordinator in Fresh Meadows, NY

Active since November 01, 2016Opted out of Medicare · through Feb 4, 2027
17411 67TH AVE, FRESH MEADOWS, NY 11365(719) 939-3773 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Rivera NPPES

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

KATHLEEN RIVERA (NPI 1649722182) is an individual case manager/care coordinator provider in Fresh Meadows, New York, licensed in New York (079499) and active in the NPI registry since November 2016. She has opted out of Medicare through February 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649722182
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKATHLEEN RIVERA
Location Address17411 67TH AVEFresh Meadows, NY 11365-2006
Mailing Address17411 67th AveFresh Meadows, NY 11365-2006 · (719) 939-3773
Phone(719) 939-3773
Sole ProprietorYes
Enumeration DateNovember 1, 2016
✔ NPI 1649722182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in NY · 079499
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
17411 67TH AVE, Fresh Meadows, NY 11365
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Kathleen Rivera has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 4, 2019 through February 4, 2027.

Opt-Out Effective DateFebruary 4, 2019
Opt-Out In Effect ThroughFebruary 4, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Kathleen Rivera's NPI number?

The NPI number for Kathleen Rivera is 1649722182. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Kathleen Rivera located?

Kathleen Rivera practices at 17411 67th Ave, Fresh Meadows, NY 11365. The listed phone number is (719) 939-3773.

What is Kathleen Rivera's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Is Kathleen Rivera enrolled in Medicare?

No. Kathleen Rivera has opted out of Medicare through February 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kathleen Rivera was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.