Rachel Rivera, PA-C
NPI 1255931473 · Hospitalist Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rachel Rivera, PA-C is a Hospitalist Physician provider in Jacksonville, FL (NPI 1255931473).
Provider details
- NPI number
- 1255931473
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
4,055 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 1,840 | $61 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 986 | $89 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 493 | $41 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 116 | $127 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 108 | $50 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less11045 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Collagenase Clostridium Hist.brand: Santyl | 17 | 11 |
| Doxycycline Hyclate | 16 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 4901 Richard StJacksonville, FL 32207-7328Phone: (904) 425-0500
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Rachel Rivera's NPI number?
- Rachel Rivera's National Provider Identifier (NPI) is 1255931473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rachel Rivera's specialty?
- Rachel Rivera is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Rachel Rivera located?
- Rachel Rivera's practice location on file with NPPES is 11438 Emuness Rd, Jacksonville, FL 32218-4050.
- What is Rachel Rivera's phone number?
- The practice phone number listed in the NPPES registry for Rachel Rivera is (828) 280-1480.
- Does Rachel Rivera accept Medicare?
- Rachel Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rachel Rivera's NPI active?
- Yes — Rachel Rivera's NPI (1255931473) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.