Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gilma Lizaida Rivas

Individual provider Family Nurse Practitioner · NPI 1104472711

Gilma Lizaida Rivas is a Nurse Practitioner in Bowie, Maryland. Qualified in 2019, 7 years ago. Practices with Excelsior Healthcare Enterprises, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
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Practice location Address checks out

12520 Fairwood Pkwy
Bowie, MD 20720-6343
Phone: (301) 262-2300
Fax: (844) 888-1044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 Medical Pkwy, Annapolis, MD 21401-3773 — (443) 481-1000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R194206 (MD)

Record details

NPI number1104472711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2019
Last updated in NPPESNovember 15, 2025
Certification dateNovember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Excelsior Healthcare Enterprises — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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