GILMA LIZAIDA RIVAS – Family Nurse Practitioner, NPI 1104472711

GILMA LIZAIDA RIVAS is a healthcare provider. based in Silver spring, Maryland. specializing in NURSE PRACTITIONER. They hold a License No. R194206 (MD). The NPI Number for GILMA LIZAIDA RIVAS is 1104472711

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
GILMA LIZAIDA RIVAS
NPI
1104472711
Phone
(301) 592-1600
Address
10301 GEORGIA AVE STE 205
Enumeration Date
11 August 2019
Last Update Date
15 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3018600765
Graduation Year
2019 (7 years ago)
PAC ID
2264864099
Group Practice PAC ID
7719354109
Professional Enrollment ID
I20191118001125
Address ID
MD207206343BO12520PKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

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Provider Addresses for GILMA LIZAIDA RIVAS

  • Georgia Avenue, Silver Spring, Montgomery County, Maryland, 20012, United States

    SILVER SPRING, MD 20902

    Phone: (301) 592-1600

    Fax: (301) 592-1602

    Type: Location

  • Maple Lawn Boulevard, Maple Lawn, Scaggsville, Howard County, Maryland, 20759, United States

    FULTON, MD 207592694

    Phone: (301) 340-8339

    Fax: (301) 340-9027

    Type: Mailing

  • 2001 Medical Pkwy

    Annapolis, MD 214013773

    Phone: (443) 481-1000

    Type: Location

  • 12520 FAIRWOOD PKWY

    BOWIE, MD 207206343

    Phone: (301) 262-2300

    Fax: (844) 888-1044

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2019-11-18

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
I20191118001125INurse PractitionerDCTBD

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
99203New patient office or other outpatient visit, 30-44 minutes4040$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1413$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 20902)

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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: 7719354109View full group profile
NameSpecialtyState
Internal MedicineME

Reviews

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Frequently asked questions

What is the standard ID for GILMA LIZAIDA RIVAS in the U.S.?
In the U.S., GILMA LIZAIDA RIVAS is identified by NPI 1104472711.
Quick check: is GILMA LIZAIDA RIVAS active?
Public NPPES data shows GILMA LIZAIDA RIVAS with an active NPI status right now.
What type of care does GILMA LIZAIDA RIVAS provide?
GILMA LIZAIDA RIVAS's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is GILMA LIZAIDA RIVAS tied to Silver Spring, Maryland?
If you are local to Silver Spring, Maryland, GILMA LIZAIDA RIVAS may be relevant to your search.
Can I export GILMA LIZAIDA RIVAS's record?
You can download the official NPPES record; we summarize key fields for readability.

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