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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Trustees Of Columbia University In The City Of New York
47 mi
Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1508266347 (646) 317-7111

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

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.

Other Providers at the Same Location NPPES 20

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

RICHARD ESCANO P.T.
Physical Therapist
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
SANDEEP MALHOTRA MD
Surgery
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
FELIX S DAVELMAN M.D.
Urology
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Durable Medical Equipment & Medical Supplies
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
KATHLEEN HARDEN CRNA
Nurse Anesthetist, Certified Registered
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
RACHEL PERL DPM
Podiatrist (Foot & Ankle Surgery)
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
NIAH VICENTE CORTEZ PT
Physical Therapist
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
KEVIN TRAPP MD
Orthopaedic Surgery
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999

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 Tennille Rivera's NPI number?

The NPI number for Tennille Rivera is 1992430904. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Where is Tennille Rivera located?

Tennille Rivera practices at 95 Crystal Run Rd, Middletown, NY 10941. The listed phone number is (845) 703-6999.

What is Tennille Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tennille Rivera enrolled in Medicare?

Yes. Tennille Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tennille Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tennille Rivera reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). 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 Tennille Rivera'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 Tennille Rivera was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.