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MARISA RIVERSO MD
NPI 1972922664
Pediatrics - Pediatric Emergency Medicine in Glen Mills, PA

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
101 APPLIED BANK BLVD STE 11, GLEN MILLS, PA 19342(484) 800-8630(484) 800-8635 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2019, Jan 29, 2019 (2 updates tracked since 2019).

About Marisa Riverso Md NPPES

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

MARISA RIVERSO MD (NPI 1972922664) is an individual pediatric emergency medicine provider in Glen Mills, Pennsylvania, licensed in Pennsylvania (MD461999) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of Ny Upstate Medical University (2014).

NPPES Registry Identity

NPI1972922664
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameMARISA RIVERSOCredential: MD
Location Address101 APPLIED BANK BLVD STE 11Glen Mills, PA 19342
Mailing AddressPo Box 191Rockland, DE 19732-0191
Phone(484) 800-8630
Fax(484) 800-8635
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateMay 6, 20192 updates tracked since enumeration
✔ NPI 1972922664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in PA · MD461999
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency MedicineTaxonomy 207P00000X · License C1-0013071 (DE)
Also ListedPediatricsTaxonomy 208000000X · License MD461999 (PA), C1-0013071 (DE)
101 APPLIED BANK BLVD STE 11, Glen Mills, PA 19342
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11600 Rockland Rd Ste 2B80Wilmington, DE 19803-3607 · Phone (302) 651-5874
Location 2101 Applied Bank Blvd Ste 11Glen Mills, PA 19342 · Phone (484) 800-8630 · Fax (484) 800-8635

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

Marisa Riverso Md 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 ID8729385778
PECOS Enrollment IDI20190702002313
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 Reassignment

Medicare enrollment records show Marisa Riverso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
9.2 mi
Clinic/Center
1801 ROCKLAND RD
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • 526 clinicians in this Medicare group
NPI 1811034630 (302) 651-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SHANNON DOYLE TIEDEKEN MD
Pediatrics
101 APPLIED BANK BLVD STE 11, NEMOURS DUPONT PEDIATRICS, GLEN MILLS URGENT CARE
GLEN MILLS, PA 19342
Delaware County (484) 800-8630
DR. TEJAL MODY M.D.
Radiology (Pediatric Radiology)
101 APPLIED BANK BLVD STE 11, NEMOURS DUPONT PEDIATRICS, GLEN MILLS
GLEN MILLS, PA 19342
Delaware County (484) 800-8630
DR. KAI ADIA TURNER DO
Pediatrics
101 APPLIED BANK BLVD STE 11
GLEN MILLS, PA 19342
Delaware County (484) 800-8630
MS. JACLYN MARIE DEMATTEIS PA-C
Physician Assistant
101 APPLIED BANK BLVD STE 11
GLEN MILLS, PA 19342
Delaware County (484) 800-8630

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 Marisa Riverso's NPI number?

The NPI number for Marisa Riverso is 1972922664. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Marisa Riverso located?

Marisa Riverso practices at 101 Applied Bank Blvd Ste 11, Glen Mills, PA 19342. The listed phone number is (484) 800-8630.

What is Marisa Riverso's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Marisa Riverso enrolled in Medicare?

Yes. Marisa Riverso 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 organization bills Medicare for Marisa Riverso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Riverso reassigns Medicare benefits to The Nemours Foundation (Wilmington, DE). 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 Marisa Riverso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marisa Riverso was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.