TIERRA LACHELLE RIVERS – Nurse Practitioner, NPI 1669119707

TIERRA LACHELLE RIVERS is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11019465 (FL). The NPI Number for TIERRA LACHELLE RIVERS is 1669119707

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
TIERRA LACHELLE RIVERS
NPI
1669119707
Phone
Not provided
Address
6310 BEACH BLVD
Enumeration Date
19 May 2022
Last Update Date
16 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043457600
Graduation Year
2022 (4 years ago)
PAC ID
9436530680
Group Practice PAC ID
6507052370
Professional Enrollment ID
I20220719001490
Address ID
FL322164268JA3599XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TIERRA LACHELLE RIVERS

  • 6310 BEACH BLVD

    JACKSONVILLE, FL 322162708

    Phone:

    Type: Mailing

  • 601 S HARBOUR ISLAND BLVD STE 200

    TAMPA, FL 336025925

    Phone: (800) 480-5243

    Type: Mailing

  • 1714 SW 17TH ST

    OCALA, FL 344711227

    Phone: (352) 509-9900

    Fax: (844) 388-6186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-19

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
I20220719001490INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2217$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

Loading plans...

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: 6507052370View full group profile
NameSpecialtyState
Mental Health CounselorIL
P S Y C H I A T R YIL
P S Y C H I A T R YIL
Nurse PractitionerFL
Nurse PractitionerIL
Clinical PsychologistFL
Nurse PractitionerFL
Nurse PractitionerIL
Nurse PractitionerFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm TIERRA LACHELLE RIVERS's NPI?
Yes. TIERRA LACHELLE RIVERS is listed with NPI 1669119707 in the public NPI dataset.
Is TIERRA LACHELLE RIVERS still practicing?
TIERRA LACHELLE RIVERS is currently listed as active in the public NPI registry.
What healthcare role does TIERRA LACHELLE RIVERS hold?
Scheduling teams often label TIERRA LACHELLE RIVERS under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for TIERRA LACHELLE RIVERS?
TIERRA LACHELLE RIVERS's geographic hint is Jacksonville, Florida in our summary view.
Is the information about TIERRA LACHELLE RIVERS up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

MELODY ALICE PEREZ (APRN)

Family Nurse Practitioner
232 W 25th St
NPI: 1174526719
1550, Riverside Avenue, Riverside, Jacksonville, Duval County, Florida, 32204, United States
NPI: 1831190081
2151, Riverside Avenue, Riverside, Jacksonville, Duval County, Florida, 32204, United States
NPI: 1639161466

MRS. MELINDA P BRASWELL (APRN)

Psychiatric/Mental Health Nurse Practitioner
Tradewinds Drive, Tradewinds Pointe, Isle of Palms South, Jacksonville, Duval County, Florida, 32250, United States
NPI: 1568455863
4972 Town Center Pkwy Unit 301
NPI: 1457346900

ROBERT C SANFORD (ARNP)

Nurse Practitioner
Kelly Service, 5220, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1063407880

HEATHER ZAMUZ (ARNP)

Nurse Practitioner
Mayo Clinic Emergency Room, 4500, San Pablo Road South, Isle of Palms South, Jacksonville, Duval County, Florida, 32224, United States
NPI: 1851388359
1967, Largo Road, San Marco, Jacksonville, Duval County, Florida, 32207, United States
NPI: 1407847593