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Active NPI 1336726447 Individual Practitioner Male Practitioner

Charles C De La Riva , NP-C

Nurse Practitioner • Phoenix, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Charles De La Riva, NP-C is a certified Nurse Practitioner practicing in Phoenix, AZ. With approximately 5 years of clinical experience since completing medical education in 2021, Charles De La Riva delivers high-quality medical care to the local community at 202 E EARLL DR STE 360.

Charles De La Riva is affiliated with Nextcare Arizona I Jv Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

202 E Earll Dr Ste 360

Phoenix, AZ 850122677

Telephone 4807885621
Fax 4807791277
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Phoenix, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
337 Specialists

Practicing in Phoenix, AZ (1459 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. De La Riva (5 Years) 5 Yrs
Phoenix Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 20 $257.40 $107.34

Medical Specialties & State Licenses

CMS Verified: 2021-09-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AZ 261707

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License AZ 192810

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License AZ 261707

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AZ 261707

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nurse Practitioner
261707 (AZ)
Commercial Insurance / Payer ID Registered Nurse
192810 (AZ)

Hospital & Practice Group Affiliations

Nextcare Arizona I Jv Llc

914 N Scottsdale Rd, Tempe, AZ 852882116

Phone: 4809248382

Nextcare Arizona I Jv Llc

4730 E Indian School Rd, Phoenix, AZ 850185410

Phone: 6023543491

Nextcare Arizona I Jv Llc

13840 W Camelback Rd, Litchfield Park, AZ 853403084

Phone: 6028534057

Nextcare Arizona I Jv Llc

10240 N 43rd Ave, Glendale, AZ 853022044

Phone: 6237422060

Nextcare Arizona I Jv Llc

14800 W Mountain View Blvd, Surprise, AZ 853742700

Phone: 6233857299

Nextcare Arizona I Jv Llc

8101 N 19th Ave, Phoenix, AZ 850215161

Phone: 6028454505

Nextcare Arizona I Jv Llc

9494 W Northern Ave, Glendale, AZ 853051119

Phone: 6238722226

Nextcare Arizona I Jv Llc

17688 W Elliot Rd, Goodyear, AZ 853389009

Phone: 6238896823

Nextcare Arizona I Jv Llc

9745 W Bell Rd, Sun City, AZ 853511371

Phone: 6237422999

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Kendra Scott , DPT

Physical Therapist

NPI 1003473018

Doctor of Physical Therapy

NPI 1053415257

Doctor of Medicine (M.D.), FACS

Javier Yepiz , PA

Physician Assistant

NPI 1073108593

Physician Assistant

Jordan Schenk , PA-C

Physician Assistant

NPI 1154906782

Physician Assistant (Certified)

Dr. Hoang Nguyen , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1205586799

Doctor of Podiatric Medicine

Dr. Kiup Kim , MD, RPVI

Surgery - Vascular Surgery

NPI 1225242985

Doctor of Medicine (M.D.), RPVI

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address September 15, 2021

Registered at 202 E EARLL DR STE 360, PHOENIX, AZ 850122677 (Tel: 4807885621)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2021

Registered Nurse (License #192810 in AZ)

👤
Provider Name / Credentials Updated August 11, 2021

Recorded as CHARLES DE LA RIVA, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2021

Nurse Practitioner (License #261707 in AZ)

NPI Profile Active March 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2021

Registered at 202 E EARLL DR STE 360, PHOENIX, AZ 850122677 (Tel: 4807885621)

📍
Updated Business Mailing Address March 25, 2021

Registered at 17766 W GRANITE VIEW DR, GOODYEAR, AZ 853385664

👤
Provider Name / Credentials Updated March 25, 2021

Recorded as CHARLES DE LA RIVA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Registered Nurse (License #192810 in AZ)

🟢
Initial NPI Registration & Enumeration March 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336726447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2021
Last Update: September 15, 2021
Sole Proprietor: Yes

Mailing Address

202 E Earll Dr Ste 360

Phoenix, AZ 850122677

Phone: 4807885621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.