KAROL MICHELLE RIVERA FNP
NPI 1902218571
Nurse Practitioner - Family in Houston, TX
About Karol Michelle Rivera Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAROL MICHELLE RIVERA FNP (NPI 1902218571) is an individual family provider in Houston, Texas, licensed in Texas (AP123724) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Karol Michelle Rivera Fnp 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 Reassignments
3Medicare enrollment records show Karol Rivera reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,407 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 1,579 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Houston Methodist Hospital
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77024 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77024
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 Karol Rivera's NPI number?
The NPI number for Karol Rivera is 1902218571. It was assigned to this individual provider in the NPPES registry on May 29, 2014.
Where is Karol Rivera located?
Karol Rivera practices at 929 Gessner Rd Ste 1300, Houston, TX 77024. The listed phone number is (999) 999-9999.
What is Karol Rivera's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Karol Rivera enrolled in Medicare?
Yes. Karol 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 Karol Rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karol Rivera reassigns Medicare benefits to 3 organizations: Tmh Physician Associates PLLC (Houston, TX), Ut Physicians (Houston, TX) and Houston Methodist Specialty Physicians (Houston, TX). 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 Karol Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karol Rivera accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Karol Rivera 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.
Is Karol Rivera affiliated with any hospitals?
According to CMS data, Karol Rivera is affiliated with Houston Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Karol Rivera was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.