Carlos Rivera, FNP-BC
NPI 1265738942 · Family Nurse Practitioner · Phoenix, AZ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Rivera, FNP-BC is a Family Nurse Practitioner provider in Phoenix, AZ (NPI 1265738942).
Provider details
- NPI number
- 1265738942
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- RN157120 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
226 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 113 | $104 |
| Residence Visit for New Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99344 | 57 | $116 |
| Advance Care Planning, First 30 Minutes99497 | 41 | $67 |
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 15 | $151 |
Typical Medicare-allowed amounts for these services range $67–$151 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Amlodipine Besylate | 24 |
| Pantoprazole Sodium | 20 |
| Trazodone Hcl | 19 |
| Furosemide | 16 |
| Baclofen | 14 |
| Duloxetine Hcl | 14 |
| Gabapentin | 14 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 14 |
| Atorvastatin Calcium | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-01-28
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is Carlos Rivera's NPI number?
- Carlos Rivera's National Provider Identifier (NPI) is 1265738942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Rivera's specialty?
- Carlos Rivera is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carlos Rivera located?
- Carlos Rivera's practice location on file with NPPES is 24 W Camelback Rd Ste A262, Phoenix, AZ 85013-2529.
- What is Carlos Rivera's phone number?
- The practice phone number listed in the NPPES registry for Carlos Rivera is (623) 377-2747.
- Does Carlos Rivera accept Medicare?
- Carlos Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Rivera's NPI active?
- Yes — Carlos Rivera's NPI (1265738942) is active in the NPPES registry as of the last update on 2024-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.