JORGE RIVERA (PA-C) – Physician Assistant, NPI 1760208318

JORGE RIVERA (PA-C) is a healthcare provider. based in Henderson, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for JORGE RIVERA (PA-C) is 1760208318

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JORGE RIVERA (PA-C)
NPI
1760208318
Phone
(702) 777-8687
Address
874 AMERICAN PACIFIC DR
Enumeration Date
27 November 2024
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157178730
Graduation Year
2024 (2 years ago)
PAC ID
7113429002
Group Practice PAC ID
0042358673
Professional Enrollment ID
I20250909001327
Address ID
IL604519547NE1890XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for JORGE RIVERA (PA-C)

  • 874 AMERICAN PACIFIC DR

    HENDERSON, NV 890148800

    Phone: (702) 777-8687

    Type: Location

  • 951 LAS PALMAS ENTRADA AVE APT 1928

    HENDERSON, NV 890125628

    Phone:

    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: 2025-09-09

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
I20250909001327IPhysician AssistantILTBD

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 89014)

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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: 0042358673View full group profile
NameSpecialtyState
Physician AssistantIL
General SurgeryIL
Physician AssistantIL
General Surgery, Colorectal Surgery (Proctology), Hematology/OncologyIL
General SurgeryIL
-CA
General SurgeryIL
General SurgeryIL
General SurgeryIL

Reviews

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Frequently asked questions

What is the registry number for JORGE RIVERA (PA-C)?
The registry entry for JORGE RIVERA (PA-C) shows NPI 1760208318.
Is JORGE RIVERA (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists JORGE RIVERA (PA-C) as active.
What services align with JORGE RIVERA (PA-C)'s listing?
JORGE RIVERA (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to JORGE RIVERA (PA-C)?
The directory associates JORGE RIVERA (PA-C) with Henderson, Nevada. Check all listed addresses for suites or satellite offices.
Can I export JORGE RIVERA (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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