NPPES file of Aug 9, 2026

Johan Ernesto Rivera, PA

Physician Assistant · Round Rock, TX

Johan Ernesto Rivera, PA is a physician assistant with a practice address in Round Rock, Texas, and NPI 1568249969, issued on Sep 11, 2023. Check the license (Texas PA17137, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1568249969
Name
Johan Ernesto Rivera
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
PA17137 TX
Self-reported in NPPES; status is on the state search
Practice location
3950 N A W Grimes Blvd Ste N201, Round Rock, TX 78665
Phone
(877) 800-5722
Enumerated
Sep 11, 2023
Record last updated
Oct 5, 2023
Medicare enrollment
Enrolled (PECOS I20231019003672); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3950 N A W Grimes Blvd Ste N201

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Priya Chandna, RNPediatric Nurse Practitioner1275387201
  2. Jennifer Diaz, LPCProfessional Counselor1285139840
  3. Amena Dossul, M.DPediatrics Physician1326488362
  4. Katelyn Heck, RN, MSN, CRNPPediatric Nurse Practitioner1801224159
  5. Denise Pautler, M.D.Pediatrics Physician1447489547
  6. Tiffany Rybak, CRNPPediatric Nurse Practitioner1538302070

Verify Johan Ernesto Rivera in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license PA17137
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Seton Family OF DoctorsAustin, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Johan Ernesto Rivera among 10,999 physician assistant records in Texas

Johan Ernesto Rivera, PA is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 82% of them.

  • NPI issued2023 · 82% of these records are older, 12% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 55% of these records are
  • Graduated2022 · median 2017 among the 6,096 with a school on file
  • Record last updated2023 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

154 physician assistant records list a practice address in Round Rock

They are 154 of the 3,815 NPPES records with a practice address in Round Rock, and 10,999 physician assistant records in Texas.

The 8 physician assistant records with the nearest ZIP codes

  1. Jaime Caro, PACRound Rock, TX 786651548252588
  2. Barry Castaneda, P.A.Round Rock, TX 786651659395556
  3. Cassie Connerty, PA-CRound Rock, TX 786651790820397
  4. Harold Durbin, PACRound Rock, TX 786651154436269
  5. Kristin Hart, PACRound Rock, TX 786651053341974
  6. Karen Holmes, PARound Rock, TX 786651225091549
  7. Eric Kaszynski, PACRound Rock, TX 786651750438263
  8. Marcy Long, PA-CRound Rock, TX 786651437228111

Common questions

What is Johan Ernesto Rivera, PA's NPI number?

Johan Ernesto Rivera, PA's National Provider Identifier (NPI) is 1568249969, issued on Sep 11, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Johan Ernesto Rivera, PA located?

The NPPES record lists a practice address at 3950 N A W Grimes Blvd Ste N201, Round Rock, TX, 78665. Phone: (877) 800-5722. Providers update this record themselves, so call before visiting.

How can I verify Johan Ernesto Rivera, PA's license?

NPPES lists Texas license number PA17137, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.