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

Zandra R. Rivera, RN, BSN, MS, APRNBC

Individual provider Adult Health Nurse Practitioner · NPI 1134209802

Zandra R. Rivera, RN, BSN, MS, APRNBC is a Nurse Practitioner in Houston, Texas. Qualified in 2004, 22 years ago. Practices with Physicians Referral Service, a 2,727-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2006
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1515 Holcombe Blvd
Houston, TX 77030-4009 Not confirmed with CMS for 19 years — call before visiting
Phone: (713) 792-6161
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 662429 (TX)

Record details

NPI number1134209802
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN , MS , APRNBC
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients99
Services billed 136 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $2,617 26 payments · a meal or drink at a meeting or visit, not a fee
Education $50 1 payment · educational material or training, not a fee
Compensation for services other than consulting , including serving as faculty or as a speaker at a venue other than a continuing education program $4 1 payment

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Affiliated with 1 hospital, which CMS identifies by certification number only.

Colleagues at Physicians Referral Service

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2727 clinicians in the practice; 12 are shown here.

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