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JACOB AARON RIVERA
NPI 1689431363
Physician Assistant in Dallas, TX

Active since February 29, 2024PECOS EnrolledAccepts Medicare Assignment
6201 HARRY HINES BLVD, DALLAS, TX 75235(214) 633-5555 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jacob Aaron Rivera NPPES

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

JACOB AARON RIVERA (NPI 1689431363) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA17963) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689431363
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB AARON RIVERA
Location Address6201 HARRY HINES BLVDDallas, TX 75235-5202
Mailing Address3500 Camp Bowie BlvdFort Worth, TX 76107-2644 · (817) 735-2171
Phone(214) 633-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 29, 2024
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1689431363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA17963
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6201 HARRY HINES BLVD, Dallas, TX 75235
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Jacob Aaron Rivera 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 ID8224569728
PECOS Enrollment IDI20241008004212
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.

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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 20

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

SARA ALTAF LALANI MD
Hospitalist
6201 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 633-5555
SARA TADESSE FNP
Nurse Practitioner (Family)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 645-2823
CARLA MARIES RICAFORT MARIANO AGACNP
Nurse Practitioner (Acute Care)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 633-5555
ADITYA LULLA M.D.
Emergency Medicine (Emergency Medical Services)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 633-5555
MISS KATHRYN ELIZABETH IRWIN AGACNP-BC
Nurse Practitioner (Adult Health)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (817) 825-6628
MIN JUNG CHO EPLING
Family Medicine (Adult Medicine)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 633-0100
HABEN YISSEHAK PA-C
Physician Assistant
6201 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 645-3597
DEREK CHARLES BARTLETT
Psychologist (Clinical)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 645-5555

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 Jacob Rivera's NPI number?

The NPI number for Jacob Rivera is 1689431363. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Jacob Rivera located?

Jacob Rivera practices at 6201 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 633-5555.

What is Jacob Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Rivera enrolled in Medicare?

Yes. Jacob 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 Jacob Rivera accept?

Health plans from Blue Cross and Blue Shield of Texas list Jacob 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 Jacob Rivera affiliated with any hospitals?

According to CMS data, Jacob Rivera is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Jacob Rivera was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.