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

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

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