TENNILLE RIVERA FNP
NPI 1992430904
Nurse Practitioner - Family in Middletown, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since July 22, 2022PECOS Enrolled

95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 28, 2022, Jul 22, 2022 (2 updates tracked since 2022).

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About Tennille Rivera Fnp NPPES

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

TENNILLE RIVERA FNP (NPI 1992430904) is an individual family provider in Middletown, New York, licensed in New York (F350261) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992430904

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTENNILLE RIVERACredential: FNP

Location Address95 CRYSTAL RUN RDMiddletown, NY 10941-7001

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Enumeration DateJuly 22, 2022

Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2022

✔ NPI 1992430904 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 NY · F350261

95 CRYSTAL RUN RD, Middletown, NY 10941

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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)

Tennille Rivera Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.