Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANUEL JOHANNES CARDENAS RIVERA FNP-C
NPI 1790648277
Nurse Practitioner - Primary Care in Plymouth, IN

Q: What is Manuel Cardenas Rivera's NPI number?

The NPI number for Manuel Cardenas Rivera is 1790648277. It was assigned to this individual provider in the NPPES registry on December 3, 2025.

Q: What is Manuel Cardenas Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since December 03, 2025PECOS Enrolled

2855 MILLER DR STE 205, PLYMOUTH, IN 46563(317) 245-8117(844) 415-5162 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 21, 2026, Jul 24, 2026, May 27, 2026 and 1 more (4 updates tracked since 2025).

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About Manuel Johannes Cardenas Rivera Fnp-c NPPES

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

MANUEL JOHANNES CARDENAS RIVERA FNP-C (NPI 1790648277) is an individual primary care provider in Plymouth, Indiana, licensed in Indiana (71017687A) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790648277

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameMANUEL JOHANNES CARDENAS RIVERACredential: FNP-C

Location Address2855 MILLER DR STE 205Plymouth, IN 46563-8093

Mailing Address8820 Columbia 100 Pkwy Ste 430Columbia, MD 21045-2175 · (410) 967-2097

Phone(317) 245-8117

Fax(844) 415-5162

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 3, 2025

Last NPPES UpdateSeptember 21, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1790648277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in IN · 71017687A

2855 MILLER DR STE 205, Plymouth, IN 46563

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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

Manuel Johannes Cardenas Rivera Fnp-c 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 ID1052877297

PECOS Enrollment IDI20260729000240

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46563 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 13

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

MELINDA HALUPA NP

Nurse Practitioner