Angela D Rivero, APRN
Nurse Practitioner, Family in Wichita, KS. Individual provider (NPI-1).
NPI number1023058005
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1023058005
- Entity type
- Individual (NPI-1)
- Name
- Angela D Rivero
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2006
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 44852 | KS | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | 44853 | KS | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 44853 | KS |
Practice location
3239 N Westwind Bay CtWichita, KS 67205-2525
Phone 316-992-7900
Mailing address
3239 N Westwind Bay CtWichita, KS 67205-2525
Phone 316-992-7900
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