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

Michelle Diane Rivera

Individual provider Gerontology Nurse Practitioner · NPI 1720614373

Michelle Diane Rivera is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2020, 6 years ago. Practices with Usacs Observation Medicine Services of Oklahoma, LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1705 E 19th St Ste 302
Tulsa, OK 74104-5410
Phone: (918) 748-7585
Fax: (918) 403-6352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 113676 (OK)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 113676 (OK)

Record details

NPI number1720614373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2020
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address1705 E 19th St Ste 302, Tulsa, OK 74104-5410

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Usacs Observation Medicine Services Of Oklahoma, Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tulsa