Individual ProviderJaniece RiversNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address501 S Rancho Dr Ste I61, Las Vegas, NV 89106-4838(888) 749-6325(702) 580-3370PECOS EnrollmentBased on the most recent information from CMS, provider Janiece Rivers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1861077398Provider TypeIndividualFull NameRivers, JanieceCredentialAPRN, FNP-CGenderFemaleSole ProprietorNoEnumeration Date3/16/2021Last Updated1/30/2025Contact InformationPractice LocationPractice Address501 S Rancho Dr Ste I61, Las Vegas, NV 89106-4838Phone(888) 749-6325Fax(702) 441-1969Mailing LocationMailing Address9667 Ponderosa Skye Ct, Las Vegas, NV 89166-3807Phone(702) 580-3370FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense838752NevadaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense838752NevadaCode363LP0808XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense838752Nevada