MRS. ERIN EILEEN RIVERA PHD CNS APRN BC NPI 1790893147

NPI Information

  • NPI: 1790893147
  • Provider Name: MRS. ERIN EILEEN RIVERA, PHD, CNS, APRN, BC
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 415 E COOK RD
    SUITE 100
    FORT WAYNE, IN
    ZIP 46825
  • Phone: (260) 489-6030

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NPI Details

MRS. Erin Eileen Rivera, PHD, CNS, APRN, BC is a clinical nurse specialist in Fort Wayne, IN with 45 years of experience. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. MRS. Erin Eileen Rivera, PHD, CNS, APRN, BC NPI is 1790893147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 E COOK RD
SUITE 100
FORT WAYNE, IN
ZIP 46825-636
Phone: (260) 489-6030
Fax: (260) 489-5536

The NPI 1790893147 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)

The enumeration date for this NPI number is 8/27/2006 and was last updated on 4/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SG0600XClinical Nurse SpecialistGerontology70000103AINDIANANo
2364S00000XClinical Nurse Specialist70000103AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201006300MEDICAIDINDIANA
2M400062057MEDICARE PININDIANA
3P86653MEDICARE UPININDIANA
4580940EMEDICARE ID-TYPE UNSPECIFIEDINDIANAPROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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