MR. SAMUEL RIVERA ORTIZ (APRN) – Critical Care Medicine Nurse Practitioner, NPI 1629536974

MR. SAMUEL RIVERA ORTIZ (APRN) is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 78432 (KS). The NPI Number for MR. SAMUEL RIVERA ORTIZ (APRN) is 1629536974

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. SAMUEL RIVERA ORTIZ (APRN)
NPI
1629536974
Phone
(816) 606-5868
Address
10525 CLEVELAND AVE
Enumeration Date
6 March 2019
Last Update Date
6 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135881227
Graduation Year
2018 (8 years ago)
PAC ID
1153655014
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20190626001706
Address ID
KS661600001KA4000XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

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Provider Addresses for MR. SAMUEL RIVERA ORTIZ (APRN)

  • 10525, Cleveland Avenue, Westmore Downs, Maywood, Kansas City, Wyandotte County, Kansas, 66109, United States

    KANSAS CITY, MO 641371621

    Phone: (816) 606-5868

    Type: Mailing

  • The University of Kansas Hospital, 4000, Cambridge Street, Kansas City, Wyandotte County, Kansas, 66160, United States

    KANSAS CITY, KS 661608501

    Phone: (913) 588-1227

    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 $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2023-07-06 • Largest payer in this snapshot: La Jolla Pharmaceutical Company ($126).

Total Amount

$126

General + Research + Ownership

Payments

1

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-06

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: 2019-06-26

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
I20190626001706INurse PractitionerKSTBD

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
99291Critical care, first 30-74 minutes9960$0
99292Critical care, each additional 30 minutes5831$0
View full utilization report →

Insurance plans in this area (ZIP 64137)

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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: 8921911587View full group profile

Reviews

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Frequently asked questions

What identifier follows MR. SAMUEL RIVERA ORTIZ (APRN) across health systems?
The NPI 1629536974 uniquely identifies MR. SAMUEL RIVERA ORTIZ (APRN) in U.S. healthcare data.
Is MR. SAMUEL RIVERA ORTIZ (APRN) currently accepting referrals based on NPI status?
Registry metadata lists MR. SAMUEL RIVERA ORTIZ (APRN) as active.
What services align with MR. SAMUEL RIVERA ORTIZ (APRN)'s listing?
MR. SAMUEL RIVERA ORTIZ (APRN)'s public classification highlights Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. SAMUEL RIVERA ORTIZ (APRN) tied to Kansas City, Missouri?
If you are local to Kansas City, Missouri, MR. SAMUEL RIVERA ORTIZ (APRN) may be relevant to your search.
Can I export MR. SAMUEL RIVERA ORTIZ (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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