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Gabrielle Rivera-Johnson, FNP-C

Nurse Practitioner, Family in Ridgefield, WA. Individual provider (NPI-1).

NPI number1295522985
StatusActive
Last updated in NPPESFeb 3, 2026

Details

NPI
1295522985
Entity type
Individual (NPI-1)
Name
Gabrielle Rivera-Johnson
Credential
FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 24, 2025
Certification date
Feb 3, 2026
Last updated
Feb 3, 2026

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 codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP70030346WAYes

Practice location

411 N Main Ave
Ridgefield, WA 98642-5558

Phone 360-803-1555

Mailing address

100 N Howard St Ste R
Spokane, WA 99201-0508

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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