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Active NPI 1548453731 Individual Practitioner Female Practitioner

Atalie Irene Rivera , PA-C

Physician Assistant • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Atalie Rivera, PA-C is a certified Physician Assistant practicing in Tyler, TX. With approximately 24 years of clinical experience since completing medical education in 2002, Atalie Rivera delivers high-quality medical care to the local community at 800 E DAWSON ST.

Atalie Rivera is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 E Dawson St

Tyler, TX 757012036

Telephone 9035938441
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tyler, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +6.9 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
99 Specialists

Practicing in Tyler, TX (11140 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (24 Years) 24 Yrs
Tyler Specialty Average (17.1 Years) 17.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
103 102 $441.00 $142.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
29 29 $300.00 $108.56
99238 Hospital discharge day management, 30 minutes or less
20 20 $160.00 $65.05
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes
19 18 $471.00 $173.85

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA9104226

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
284523201 (TX)
Medicaid State Provider ID
284523202 (TX)
Commercial Insurance / Payer ID Bcbs
854N58 (TX)
Commercial Insurance / Payer ID Tricare
75-2616977-042 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Christus Trinity Clinic

3203 S Main St, Lindale, TX 757717727

Phone: 9032664000

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

800 E Dawson St, Tyler, TX 757012036

Phone: 9035101186

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kirby Kile , CRNA

Anesthesiology

NPI 1003524869

Certified Registered Nurse Anesthetist

Blake Long , RN

Registered Nurse - Registered Nurse First Assistant

NPI 1003730771

Registered Nurse

Leah Dillman , AGACNP-BC

Nurse Practitioner

NPI 1033847967

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Jason Anderson , DO

Emergency Medicine

NPI 1043604358

Doctor of Osteopathic Medicine (D.O.)

Lacey Morris , FNP-C

Nurse Practitioner

NPI 1043732266

Family Nurse Practitioner (Certified)

NPI 1053195982

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2014

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9035938441)

📍
Updated Business Mailing Address October 24, 2014

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)

👤
Provider Name / Credentials Updated October 24, 2014

Recorded as ATALIE RIVERA, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2014

Physician Assistant (License #PA9104226 in TX)

🟢
Initial NPI Registration & Enumeration August 22, 2007

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: 1548453731
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2007
Last Update: October 24, 2014
Sole Proprietor: No

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246450

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.