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

Mary Rivera, NP

Individual provider Nurse Practitioner · NPI 1215912704

Mary Rivera, NP is a Nurse Practitioner in Johnson City, New York. Qualified in 1994, 32 years ago. Practices with Chenango Memorial Hospital Inc, a 109-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

52 Harrison St Southern Tier Pulmonary
Johnson City, NY 13790-2120
Phone: (607) 729-8845
Fax: (607) 729-5574
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 301728 (NY)

Record details

NPI number1215912704
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESJune 29, 2009
Mailing address52 Harrison St, Southern Tier Pulmonary, Johnson City, NY 13790-2120

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Chenango Memorial Hospital Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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