KAROL MICHELLE RIVERA FNP
NPI 1902218571
Nurse Practitioner - Family in Houston, TX

Active since May 29, 2014PECOS EnrolledAccepts Medicare Assignment
929 GESSNER RD STE 1300, HOUSTON, TX 77024(999) 999-9999 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2026, Aug 14, 2023, Jun 16, 2023 and 6 more (9 updates tracked since 2019).

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

NPI1902218571
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAROL MICHELLE RIVERACredential: FNP
Location Address929 GESSNER RD STE 1300Houston, TX 77024-2469
Mailing Address6431 Fannin St # 3.286Houston, TX 77030-1501 · (713) 486-6600
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013
Enumeration DateMay 29, 2014
Last NPPES UpdateJuly 24, 20269 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1902218571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP123724
929 GESSNER RD STE 1300, Houston, TX 77024

Secondary Practice Location 1

Location 16550 Fannin St Ste 2221Houston, TX 77030-2722 · Phone (713) 797-9666

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.

PECOS PAC ID6507142130
PECOS Enrollment IDI20170417000472
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

3

Medicare 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.

Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
Otolaryngology
7550 GREENBRIAR DR STE 600
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, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician 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.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 6

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

Obstetrics & Gynecology
929 GESSNER RD STE 1300
HOUSTON, TX 77024
Obstetrics & Gynecology
929 GESSNER RD STE 1300
HOUSTON, TX 77024
Nurse Practitioner
929 GESSNER RD STE 1300
HOUSTON, TX 77024
Nurse Practitioner (Women's Health)
929 GESSNER RD STE 1300
HOUSTON, TX 77024
Obstetrics & Gynecology
929 GESSNER RD STE 1300
HOUSTON, TX 77024
Obstetrics & Gynecology
929 GESSNER RD STE 1300
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.