JOLIE RIVENBARK RN, PMHNP-BC
NPI 1831835800
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA
About Jolie Rivenbark Rn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLIE RIVENBARK RN, PMHNP-BC (NPI 1831835800) is an individual psychiatric/mental health provider in Woodbridge, Virginia, licensed in Virginia (0024189696) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jolie Rivenbark Rn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jolie Rivenbark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80906
- Reassigned Medicare billing, Colorado enrollment
- 400 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 22193 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBRIDGE, VA 22193
WOODBRIDGE, VA 22193
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 Jolie Rivenbark's NPI number?
The NPI number for Jolie Rivenbark is 1831835800. It was assigned to this individual provider in the NPPES registry on May 11, 2022.
Where is Jolie Rivenbark located?
Jolie Rivenbark practices at 14130 Noblewood Plz Ste 306, Woodbridge, VA 22193. The listed phone number is (703) 485-0470.
What is Jolie Rivenbark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jolie Rivenbark enrolled in Medicare?
Yes. Jolie Rivenbark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jolie Rivenbark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jolie Rivenbark reassigns Medicare benefits to Family Care Center, LLC (Colorado Springs, CO). 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 Jolie Rivenbark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jolie Rivenbark accept?
Health plans from Select Health list Jolie Rivenbark 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 Jolie Rivenbark was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jolie Rivenbark, RN, PMHNP-BC · NPI 1831835800
Psychiatric/Mental Health physician in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since May 11, 2022.
## Identity
- **NPI:** 1831835800 (Entity type: Individual)
- **Enumerated:** May 11, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024189696 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 14130 NOBLEWOOD PLZ STE 306, Woodbridge, VA 22193-1467
- **Phone:** (703) 485-0470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Care Center, LLC (NPI 1790141984, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831835800) · Data from the CMS NPPES public registry.