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MELANIE RIVERA CRNP
NPI 1811611734
Nurse Practitioner in Bethlehem, PA

Active since October 04, 2022PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
801 OSTRUM ST, BETHLEHEM, PA 18015(484) 526-6643(484) 526-4658 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melanie Rivera Crnp NPPES

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

MELANIE RIVERA CRNP (NPI 1811611734) is an individual nurse practitioner in Bethlehem, Pennsylvania, licensed in Pennsylvania (SP026282) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811611734
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELANIE RIVERACredential: CRNP
Location Address801 OSTRUM STBethlehem, PA 18015-1000
Mailing Address801 Ostrum StBethlehem, PA 18015-1000 · (484) 526-6643 · Fax (484) 526-4658
Phone(484) 526-6643
Fax(484) 526-4658
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
✔ NPI 1811611734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP026282
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
801 OSTRUM ST, Bethlehem, PA 18015
Open in Google Maps ↗

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

Melanie Rivera Crnp 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 ID9931576659
PECOS Enrollment IDI20221109000046
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 Melanie Rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
Same address
Trauma Surgery
801 OSTRUM ST
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1083789150 (484) 526-2200
Gslpg, Inc
37 mi
Specialist
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 953 clinicians in this Medicare group
NPI 1366006702 (272) 639-1000

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 18015 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

DR. MELANIE KAY TUROCK D.O.
Emergency Medicine
801 OSTRUM ST, DEPT. OF EMERGENCY MEDICINE
BETHLEHEM, PA 18015
Northampton County (610) 954-4903
KELLY HAY
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Northampton County (973) 769-1524
DR. RACHEL O'CONNELL M.D.
Obstetrics & Gynecology
801 OSTRUM ST
BETHLEHEM, PA 18015
Northampton County (610) 393-8958
KRISTEN N SCHOLZ CRNP
Nurse Practitioner (Acute Care)
801 OSTRUM ST
BETHLEHEM, PA 18015
Northampton County (484) 526-2200
HARRISON COURIE MD
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Northampton County (484) 526-4903
EMILY BUHEDO ERNST MD
Internal Medicine (Critical Care Medicine)
801 OSTRUM ST
BETHLEHEM, PA 18015
Northampton County (484) 526-3890
DR. AMY LYNN MORRISSEY DNP, CRNA
Nurse Anesthetist, Certified Registered
801 OSTRUM ST
BETHLEHEM, PA 18015
Northampton County (610) 954-5810
BRANDON MERKERT
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Northampton County (484) 526-4000

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 Melanie Rivera's NPI number?

The NPI number for Melanie Rivera is 1811611734. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Melanie Rivera located?

Melanie Rivera practices at 801 Ostrum St, Bethlehem, PA 18015. The listed phone number is (484) 526-6643.

What is Melanie Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melanie Rivera enrolled in Medicare?

Yes. Melanie 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 organizations bill Medicare for Melanie Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Rivera reassigns Medicare benefits to 2 organizations: St. Luke's Physician Group, Inc. (Bethlehem, PA) and Gslpg, Inc (Orwigsburg, PA). 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 Melanie 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 Melanie Rivera was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.