2026 NPPES data Gerontology Nurse Practitioner NPI 1417664442 AGNP-C
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SYLVIA RIVERA, AGNP-C

Gerontology Nurse Practitioner in HARLINGEN, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 556 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.0K
44 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SYLVIA RIVERA, AGNP-C filed 2,515 Medicare Part D claims in 2023 as a Gerontology Nurse Practitioner in HARLINGEN, Texas, prescribing 87% generic.

3K
Part D claims, 2023
87%
generic prescribing
$1.0K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SYLVIA RIVERA, AGNP-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,515 Top 13% higher than 87% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about SYLVIA RIVERA, AGNP-C?

Quality data not reported

NPI registry status

Active

Issued 10/31/2022

NPI 1417664442

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

2,515 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

Specialty distribution in Texas

How Gerontology Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Gerontology Nurse Practitioner share within Texas

1. Gerontology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Nurse Practitioner share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Gerontology Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gerontology Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Gerontology Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gerontology Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SYLVIA RIVERA, AGNP-C appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding AGNP-C credentials at 629 KAMALI DR, HARLINGEN, TX, 78550, with a listed phone of (956) 425-7800. NPI 1417664442 was issued on 10/31/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RIVERA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,515 prescription claims written by this provider, covering 556 Medicare beneficiaries and totaling roughly $357K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

629 KAMALI DR
HARLINGEN, TX 78550

Provider Details

NPI 1417664442
Specialty Gerontology Nurse Practitioner
Credentials AGNP-C
Gender Female
NPI Issued 10/31/2022

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SYLVIA RIVERA, AGNP-C. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

Lilly USA, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to SYLVIA RIVERA, AGNP-C. To verify SYLVIA RIVERA, AGNP-C's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SYLVIA RIVERA, AGNP-C — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 2,515 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,515
Total Claims
$357K
Total Drug Cost
556
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,439
Total Day Supply
119,410
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$309K
Generic Drug Cost
$48K
Opioid Claims
40 (1.6% rate)
Antibiotic Claims
307

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.93
Gender Split
58% female / 42% male
Age Distribution
<65: 75, 65-74: 235, 75-84: 188, 85+: 58

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SYLVIA RIVERA, AGNP-C prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Naproxen
110
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
102
Baclofen
96
Cefuroxime
Cefuroxime Axetil
91
Lisinopril
90
Gabapentin
83
Amlodipine Besylate
56
Metformin Hcl
55
Atorvastatin Calcium
51
Rosuvastatin Calcium
46

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gerontology Nurse Practitioner Overview

How SYLVIA RIVERA, AGNP-C fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

SYLVIA RIVERA, AGNP-C's 2,515 claims are above the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as RIVERA.

Compare Gerontology Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is SYLVIA RIVERA, AGNP-C's specialty?
SYLVIA RIVERA, AGNP-C specializes in Gerontology Nurse Practitioner and practices in HARLINGEN, Texas. Credentials: AGNP-C.
How much does SYLVIA RIVERA, AGNP-C prescribe under Medicare Part D?
In 2023, SYLVIA RIVERA, AGNP-C wrote 2,515 Medicare Part D claims totaling $357K in drug costs for 556 beneficiaries.
Where is SYLVIA RIVERA, AGNP-C located?
SYLVIA RIVERA, AGNP-C is located at 629 KAMALI DR, HARLINGEN, TX, 78550. Phone: (956) 425-7800.
What is SYLVIA RIVERA, AGNP-C's NPI number?
SYLVIA RIVERA, AGNP-C's National Provider Identifier (NPI) is 1417664442, issued on 10/31/2022.
Does SYLVIA RIVERA, AGNP-C prescribe more brand-name or generic drugs?
SYLVIA RIVERA, AGNP-C's prescribing is 13% brand-name and 87% generic drugs by claim count, with $309K in brand drug costs.
Does SYLVIA RIVERA, AGNP-C prescribe opioids?
Yes, SYLVIA RIVERA, AGNP-C had 40 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does SYLVIA RIVERA, AGNP-C prescribe most often?
Based on 2023 Medicare Part D data, SYLVIA RIVERA, AGNP-C's most frequently prescribed drugs include Naproxen, Amoxicillin-Clavulanate Potass, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SYLVIA RIVERA, AGNP-C accept Medicare?
SYLVIA RIVERA, AGNP-C appears in CMS Medicare data with 2,515 Part D claims and 556 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SYLVIA RIVERA, AGNP-C's credentials?
SYLVIA RIVERA, AGNP-C's NPI is 1417664442 with credentials AGNP-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology