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KATHRYNE LAURALEE RIVERO RN, ARPN, CPNP-PC
NPI 1740910280
Nurse Practitioner - Pediatrics in Mansfield, TX

Active since June 16, 2022PECOS Enrolled
1759 BROAD PARK CIR S STE 201, MANSFIELD, TX 76063(682) 341-3910(682) 400-1288 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathryne Lauralee Rivero Rn, Arpn, Cpnp-pc NPPES

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

KATHRYNE LAURALEE RIVERO RN, ARPN, CPNP-PC (NPI 1740910280) is an individual pediatrics provider in Mansfield, Texas, licensed in Texas (1084533) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Toronto Faculty Of Dentistry (2022).

NPPES Registry Identity

NPI1740910280
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHRYNE LAURALEE RIVEROCredential: RN, ARPN, CPNP-PC
Location Address1759 BROAD PARK CIR S STE 201Mansfield, TX 76063-7834
Mailing Address628 Delores DrGrand Prairie, TX 75052-4851 · (972) 657-0984
Phone(682) 341-3910
Fax(682) 400-1288
Sole ProprietorNo
Medical School CMSUniversity Of Toronto Faculty Of DentistryGraduated 2022
Enumeration DateJune 16, 2022
Last NPPES UpdateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1740910280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1084533
1759 BROAD PARK CIR S STE 201, Mansfield, TX 76063
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryne Lauralee Rivero Rn, Arpn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961987037
PECOS Enrollment IDI20260327000445
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathryne Rivero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kidsville Pediatrics PLLC
Same address
Pediatric Critical Care Medicine
1759 BROAD PARK CIR S
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
NPI 1689264996 (682) 341-3888
Harmonyville PLLC
49 mi
Child & Adolescent Psychiatry
1400 N COIT RD STE 1804
Mckinney, TX 75071
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
NPI 1023962636 (682) 341-3910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 8

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

JEANETTE LOPEZ
Physician Assistant
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
DR. RAMY MAHMOUD MOHAMED SABE MBBCH
Pediatrics (Pediatric Gastroenterology)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
KATHERINE SUMMERLIN FNP-C
Nurse Practitioner
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
DAVY KRANG
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
MR. JACOB ROSS KNOX
Physician Assistant
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
ANJAE TARAY HOLDER
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
HARSHITA KUMAR
Pediatrics
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
SOPHIA GABRIELA BEACHUM MD
Pediatrics
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910

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 Kathryne Rivero's NPI number?

The NPI number for Kathryne Rivero is 1740910280. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Kathryne Rivero located?

Kathryne Rivero practices at 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063. The listed phone number is (682) 341-3910.

What is Kathryne Rivero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kathryne Rivero enrolled in Medicare?

Yes. Kathryne Rivero is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathryne Rivero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryne Rivero reassigns Medicare benefits to 2 organizations: Kidsville Pediatrics PLLC (Mansfield, TX) and Harmonyville PLLC (Mckinney, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryne Rivero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryne Rivero accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Kathryne Rivero 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 Kathryne Rivero was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.