MANUEL JOHANNES CARDENAS RIVERA FNP-C
NPI 1790648277
Nurse Practitioner - Primary Care in Plymouth, IN
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Manuel Cardenas Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, MD 21045
- Reassigned Medicare billing, Indiana enrollment
- 51 clinicians in this Medicare group
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 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.
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.
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 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.
Where is Manuel Cardenas Rivera located?
Manuel Cardenas Rivera practices at 2855 Miller Dr Ste 205, Plymouth, IN 46563. The listed phone number is (317) 245-8117.
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.
Is Manuel Cardenas Rivera enrolled in Medicare?
Yes. Manuel Cardenas 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.
Which organization bills Medicare for Manuel Cardenas Rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Cardenas Rivera reassigns Medicare benefits to Provider Partners Care Management LP (Columbia, MD). The 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 Manuel Cardenas Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Manuel Cardenas Rivera was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.
# Manuel Johannes Cardenas Rivera, FNP-C · NPI 1790648277
Primary Care physician in Plymouth, Indiana. Individual provider, active in the CMS NPPES registry since December 3, 2025.
## Identity
- **NPI:** 1790648277 (Entity type: Individual)
- **Enumerated:** December 3, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 71017687A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2855 MILLER DR STE 205, Plymouth, IN 46563-8093
- **Phone:** (317) 245-8117 · **Fax:** (844) 415-5162
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Provider Partners Care Management LP (NPI 1013348028, Columbia, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790648277) · Data from the CMS NPPES public registry.