LISA A RIVERA (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1225200066

LISA A RIVERA (NP) is a healthcare provider. based in Suffolk, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024167690 (VA). The NPI Number for LISA A RIVERA (NP) is 1225200066

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LISA A RIVERA (NP)
NPI
1225200066
Phone
(757) 255-7117
Address
5268 GODWIN BLVD
Enumeration Date
1 April 2008
Last Update Date
4 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7579662805
Graduation Year
2012 (14 years ago)
PAC ID
6305908674
Group Practice PAC ID
2961476114
Professional Enrollment ID
I20081219000490
Address ID
VA234352762SU7025XBLVD403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

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Provider Addresses for LISA A RIVERA (NP)

  • Western Tidewater Community Services Board, 5268, Godwin Boulevard, Kingsdale, Suffolk, Suffolk (city), Virginia, 23434, United States

    SUFFOLK, VA 234348114

    Phone: (757) 255-7117

    Fax: (757) 255-7139

    Type: Mailing

  • Northgate Building, 1000, Commercial Lane, Berkshire Meadows, Suffolk, Suffolk (city), Virginia, 23434, United States

    SUFFOLK, VA 234348148

    Phone: (757) 942-1025

    Fax: (757) 925-3504

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,350.

Total Amount is formed as General ($1,350) + Research ($0) + Ownership ($0) = $1,350.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($254).

Total Amount

$1,350

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,350

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2008-12-19

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
I20081219000490INurse PractitionerVATBD

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 23434)

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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: 2961476114View full group profile
NameSpecialtyState
Mental Health CounselorVA
Clinical Social WorkerVA
Nurse PractitionerVA
Mental Health CounselorVA
Clinical Social WorkerMI
Clinical Social WorkerVA
Mental Health CounselorVA
Mental Health CounselorVA
-VA
Mental Health CounselorVA

Reviews

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Frequently asked questions

Can I verify LISA A RIVERA (NP) with an NPI only?
You can start verification with NPI 1225200066 for LISA A RIVERA (NP), then check state licensing separately.
Can I rely on LISA A RIVERA (NP) being an active provider?
As of the registry snapshot, LISA A RIVERA (NP) is marked active.
What is LISA A RIVERA (NP) best known for clinically?
Directory data describes LISA A RIVERA (NP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LISA A RIVERA (NP) based?
LISA A RIVERA (NP) is tied to Suffolk, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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