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MISS GLADYS MARIA RIVERO PHYSICIAN ASSISTANT
NPI 1891928941
Physician Assistant - Medical in Fayetteville, NC

Active since August 24, 2009PECOS Enrolled
3450 SANDYSTONE CIR, FAYETTEVILLE, NC 28311(910) 728-1787 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2020, May 4, 2020, Apr 9, 2020 (3 updates tracked since 2020).

About Miss Gladys Maria Rivero Physician Assistant NPPES

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

MISS GLADYS MARIA RIVERO PHYSICIAN ASSISTANT (NPI 1891928941) is an individual medical provider in Fayetteville, North Carolina, licensed in North Carolina (001010135) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891928941
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS GLADYS MARIA RIVEROCredential: PHYSICIAN ASSISTANT
Location Address3450 SANDYSTONE CIRFayetteville, NC 28311-2503
Mailing Address3450 Sandystone CirFayetteville, NC 28311-2503 · (910) 728-1787
Phone(910) 728-1787
Sole ProprietorYes
Enumeration DateAugust 24, 2009
Last NPPES UpdateAugust 27, 20203 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1891928941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 001010135
3450 SANDYSTONE CIR, Fayetteville, NC 28311
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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)

Miss Gladys Maria Rivero Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Gladys Rivero's NPI number?

The NPI number for Gladys Rivero is 1891928941. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Where is Gladys Rivero located?

Gladys Rivero practices at 3450 Sandystone Cir, Fayetteville, NC 28311. The listed phone number is (910) 728-1787.

What is Gladys Rivero's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gladys Rivero enrolled in Medicare?

Yes. Gladys Rivero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gladys Rivero was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.