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

Mr. Carlos Rivera, FNP-BC

Individual provider Emergency Registered Nurse · NPI 1265738942

Mr. Carlos Rivera, FNP-BC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2011
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

24 W Camelback Rd Ste A262
Phoenix, AZ 85013-2529
Phone: (623) 377-2747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP8840 (AZ)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence RN157120 (AZ)

Record details

NPI number1265738942
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 28, 2011
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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