MICHELLE DIANE RIVERA
NPI 1720614373
Nurse Practitioner - Acute Care in Tulsa, OK

Q: What is Michelle Rivera's NPI number?

The NPI number for Michelle Rivera is 1720614373. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Q: What is Michelle Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Rivera was last updated on August 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 16, 2020PECOS EnrolledAccepts Medicare Assignment

1705 E 19TH ST STE 302, TULSA, OK 74104(918) 748-7585(918) 403-6352 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 4, 2020, Mar 16, 2020 (2 updates tracked since 2020).

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About Michelle Diane Rivera NPPES

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

MICHELLE DIANE RIVERA (NPI 1720614373) is an individual acute care provider in Tulsa, Oklahoma, licensed in Oklahoma (113676) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720614373

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMICHELLE DIANE RIVERA

Location Address1705 E 19TH ST STE 302Tulsa, OK 74104-5410

Mailing Address1705 E 19th St Ste 302Tulsa, OK 74104-5410 · (918) 748-7585 · Fax (918) 403-6352

Phone(918) 748-7585

Fax(918) 403-6352

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 16, 2020

Last NPPES UpdateAugust 4, 20202 updates tracked since enumeration

NPPES CertifiedAugust 4, 2020

✔ NPI 1720614373 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 OK · 113676

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 113676 (OK)

1705 E 19TH ST STE 302, Tulsa, OK 74104

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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 Oklahoma, Medica.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

Michelle Diane 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 ID2567889553

PECOS Enrollment IDI20200908000750

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 3

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

185 services70 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

95 services58 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370114

Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

St John Owasso

Acute Care Hospitals · Owasso, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number370227

Location12451 East 100th Street NorthOwasso, OK 74055 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 20

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

JULIA MARGARET KWON DO

Internal Medicine