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

Michelle Rae Rivera

Individual provider Family Medicine Physician · NPI 1174290910

Michelle Rae Rivera is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Atlas Medical ACO LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
Specialties on file
2

Practice location Address checks out

10631 S 51st St Ste 8
Phoenix, AZ 85044-5225
Phone: (480) 418-7246
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 265613 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence RN158234 (AZ)

Record details

NPI number1174290910
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2021
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Atlas Medical Aco Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Phoenix