STEPHANIE RIVERA (PA-C) – Physician Assistant, NPI 1538307509

STEPHANIE RIVERA (PA-C) is a healthcare provider. based in Miami, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 002372 (CT). The NPI Number for STEPHANIE RIVERA (PA-C) is 1538307509

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE RIVERA (PA-C)
NPI
1538307509
Phone
(305) 662-8366
Address
3100 SW 62nd Ave # Avw
Enumeration Date
29 January 2009
Last Update Date
28 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8559202377
Graduation Year
2008 (18 years ago)
PAC ID
6901963149
Group Practice PAC ID
9234500158
Professional Enrollment ID
I20090316000295
Address ID
FL330606345PO729XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for STEPHANIE RIVERA (PA-C)

  • 3100 SW 62nd Ave # Avw

    Miami, FL 331553009

    Phone: (305) 662-8366

    Fax: (786) 268-1745

    Type: Location

  • West End Avenue, Nashville, Davidson County, Tennessee, 37205, United States

    NASHVILLE, TN 372031378

    Phone: (615) 345-5400

    Fax: (888) 468-6511

    Type: Mailing

  • 105, 10th Avenue North, Lake Worth Beach, Palm Beach County, Florida, 33460, United States

    LAKE WORTH, FL 334613300

    Phone: (615) 345-5400

    Fax: (888) 468-6511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Horizon Therapeutics plc ($125).

Total Amount

$304

General + Research + Ownership

Payments

3

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090316000295IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33155)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234500158View full group profile
NameSpecialtyState
Physician AssistantNY
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physical Medicine And RehabilitationOR
Physical Medicine And Rehabilitation, Pain ManagementFL
Physical Therapist In Private PracticeMA
Internal MedicineTN

Reviews

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Frequently asked questions

Does STEPHANIE RIVERA (PA-C) have a public NPI I can cite?
Public records show STEPHANIE RIVERA (PA-C) under NPI 1538307509.
Is STEPHANIE RIVERA (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists STEPHANIE RIVERA (PA-C) as active.
What does the directory say STEPHANIE RIVERA (PA-C) does?
Insurance directories may phrase it differently, but here STEPHANIE RIVERA (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEPHANIE RIVERA (PA-C)?
STEPHANIE RIVERA (PA-C) is associated with Miami, Florida in the same public data insurers reference.
Why is information missing for STEPHANIE RIVERA (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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