MR. MARTIN E RIVERA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1184694416

MR. MARTIN E RIVERA (CRNA) is a healthcare provider. based in Rolla, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 073074 (MO). The NPI Number for MR. MARTIN E RIVERA (CRNA) is 1184694416

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARTIN E RIVERA (CRNA)
NPI
1184694416
Phone
(573) 458-8899
Address
1000 W 10th St
Enumeration Date
26 January 2006
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035415000
Graduation Year
2016 (10 years ago)
PAC ID
2668492372
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20250402000931
Address ID
TX757662434JA501XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for MR. MARTIN E RIVERA (CRNA)

  • 1000 W 10th St

    Rolla, MO 654012905

    Phone: (573) 458-8899

    Type: Location

  • PO BOX 220

    ROLLA, MO 654020220

    Phone: (573) 458-8899

    Type: Mailing

  • Phelps County Regional Medical Center, 1000, West 10th Street, Rolla, Phelps County, Missouri, 65401, United States

    ROLLA, MO 654012905

    Phone: (573) 458-8899

    Type: Location

  • 2626 S JACKSON

    JACKSONVILLE, TX 75766

    Phone: (903) 541-4630

    Fax: (903) 586-5710

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2023-06-26 • Largest payer in this snapshot: ATRICURE, INC. ($41).

Total Amount

$41

General + Research + Ownership

Payments

1

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$41
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: 2025-04-02

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
I20250402000931ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 65401)

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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: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What is the registry number for MR. MARTIN E RIVERA (CRNA)?
The registry entry for MR. MARTIN E RIVERA (CRNA) shows NPI 1184694416.
Should I treat MR. MARTIN E RIVERA (CRNA) as an active provider?
Patients and plans typically see MR. MARTIN E RIVERA (CRNA) as active in the national extract.
What services align with MR. MARTIN E RIVERA (CRNA)'s listing?
MR. MARTIN E RIVERA (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. MARTIN E RIVERA (CRNA)?
MR. MARTIN E RIVERA (CRNA) shows a connection to Rolla, Missouri in registry-derived data.
Why is information missing for MR. MARTIN E RIVERA (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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