Nicole Marie Rivera
Physician Assistant in Coral Springs, FL. Individual provider (NPI-1).
NPI number1619854486
StatusActive
Last updated in NPPESAug 21, 2025
Details
- NPI
- 1619854486
- Entity type
- Individual (NPI-1)
- Name
- Nicole Marie Rivera
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2025
- Certification date
- Aug 21, 2025
- Last updated
- Aug 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2740 Nw 106th AveCoral Springs, FL 33065-3717
Phone 954-850-3674
Mailing address
2740 Nw 106th AveCoral Springs, FL 33065-3717
Is something wrong?
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All 55 Physician Assistant providers in Coral Springs · All 4,407 providers in Coral Springs
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