JOLIE RIVENBARK RN, PMHNP-BC
NPI 1831835800
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Q: 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.

Q: 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.

Q: 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 23 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.

Active since May 11, 2022PECOS Enrolled

14130 NOBLEWOOD PLZ STE 306, WOODBRIDGE, VA 22193(703) 485-0470 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, May 11, 2022 (2 updates tracked since 2022).

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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

NPI1831835800

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJOLIE RIVENBARKCredential: RN, PMHNP-BC

Location Address14130 NOBLEWOOD PLZ STE 306Woodbridge, VA 22193-1467

Mailing Address14130 Noblewood Plz Ste 306Woodbridge, VA 22193-1467 · (703) 485-0470

Phone(703) 485-0470

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 11, 2022

Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1831835800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024189696

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.1677126 (CO)

14130 NOBLEWOOD PLZ STE 306, Woodbridge, VA 22193

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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 (PECOS)

Jolie Rivenbark Rn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880184993

PECOS Enrollment IDI20251106004485

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 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.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 4

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

ALLISON CALLOW APRN, CPNP-PC

Nurse Practitioner (Pediatrics)

14130 NOBLEWOOD PLZ STE 306
WOODBRIDGE, VA 22193

Prince William County (703) 485-0470

CLAYTON G POWELL PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

14130 NOBLEWOOD PLZ STE 306
WOODBRIDGE, VA 22193

Prince William County (703) 485-0470

JANIQUE LARTEY

Nurse Practitioner (Family)

14130 NOBLEWOOD PLZ STE 306
WOODBRIDGE, VA 22193

Prince William County (703) 485-0470

KRISTA REID PA-C

Physician Assistant

14130 NOBLEWOOD PLZ STE 306
WOODBRIDGE, VA 22193

Prince William County (703) 485-0470

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.

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 23 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.