P Praxis·MD
● Active Type 1 · Individual

MR. Martin E Rivera, CRNA

Nurse Anesthetist, Certified Registered·Jacksonville, TX· NPI 1184694416 · Enumerated 2006 · 20 years on NPI
Rivera is 1 of 4 nurse anesthetist, certified registered providers in Jacksonville and 1 of 6676 in Texas.
NPI age
20 years
Enumerated 2006-01-26
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
TX, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6676 active nurse anesthetist, certified registered providers in Texas.

NPI age
20 years
↑ 7 yr above median (13 yr)
State licenses
2 states
Top 84% — 16% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
2626 S Jackson
Jacksonville, TX 75766
📞 9035414630fax 9035865710
Mailing address
Po Box 220
Rolla, MO 654020220
📞 5734588899

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1000 W 10th St
Rolla, MO 654012905
📞 5734588899

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    TX license #1139215MO license #073074 taxonomy 367500000X

Identifiers

TypeValueNotes
05 (MO) 917426801
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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