MARLIE RIVERA CANTILLO – Family Nurse Practitioner, NPI 1598589996

MARLIE RIVERA CANTILLO is a healthcare provider. based in Round rock, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1076095 (TX). The NPI Number for MARLIE RIVERA CANTILLO is 1598589996

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MARLIE RIVERA CANTILLO
NPI
1598589996
Phone
(585) 645-8749
Address
3926 LA CONTENTA LN
Enumeration Date
12 November 2024
Last Update Date
24 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175389971
Graduation Year
2024 (2 years ago)
PAC ID
3072043025
Group Practice PAC ID
2365450202
Professional Enrollment ID
I20250206001736
Address ID
TX786653991RO3000XBLVD403

Contacts

Main Contact
securerecords.sanford.html
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARLIE RIVERA CANTILLO

  • 3926 LA CONTENTA LN

    ROUND ROCK, TX 786652937

    Phone: (585) 645-8749

    Mailing address matches the actual address.

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: 2025-02-06

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
I20250206001736INurse PractitionerTXTBD

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 78665)

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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: 2365450202View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MARLIE RIVERA CANTILLO in U.S. healthcare records?
The official identifier for MARLIE RIVERA CANTILLO is NPI 1598589996.
Is MARLIE RIVERA CANTILLO shown as active in public data?
Registry records indicate MARLIE RIVERA CANTILLO maintains an active NPI.
What expertise is attributed to MARLIE RIVERA CANTILLO?
MARLIE RIVERA CANTILLO's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARLIE RIVERA CANTILLO located near Round Rock?
MARLIE RIVERA CANTILLO currently maps to Round Rock, Texas in this extract.
Does MARLIE RIVERA CANTILLO accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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