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

Glen Rivera, PA-C

Individual provider Medical Physician Assistant · NPI 1316052111

Glen Rivera, PA-C is a Physician Assistant in Lexington, Virginia. Qualified in 1996, 30 years ago. Practices with Carilion Rockbridge Community Hospital, a 104-clinician group and accepts Medicare assignment. Licensed in Maryland, North Carolina and Virginia.

Years since qualifying
30
Licensed in
MD, NC, VA
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

108 Houston St Ste E
Lexington, VA 24450-2455
Phone: (540) 463-2227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002571 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0006682 (MD)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 102256 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110002571 (VA)

Record details

NPI number1316052111
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024
Mailing address108 Houston St Ste E, Lexington, VA 24450-2455

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Carilion Rockbridge Community Hospital — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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