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Amy Lorraine Rivas , APRN, FNP-C

Nurse Practitioner β€’ San Antonio, TX

Active NPI 1699244830 Individual Practitioner Female Practitioner
Practice location in NPPES

5107 Medical Dr
San Antonio, TX 782294801

Call 2106148612 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5107 Medical Dr

San Antonio, TX 782294801

Telephone 2106148612
Fax 2106151666
Organization at the Same NPPES Address or Phone
Diabetes And Glandular Disease Clinic Pa Facility NPI 1427166305

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

415 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$208,393 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $7,716.17 across 222 records.

By nature of payment

  • Food and Beverage: $6,530.11 across 218 records.
  • Travel and Lodging: $1,186.06 across 4 records.

Reporting-company totals (3 largest of 29)

  • Medtronic, Inc.: $2,412.55 across 35 records.
  • Sequel Med Tech, LLC: $746.34 across 26 records.
  • Novo Nordisk Inc: $682.70 across 21 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Amy Rivas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Amy Rivas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in San Antonio and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 181 clinicians with data). Median for this group: 269. Middle half: 54 to 1,018.

Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 181 clinicians with data). Median for this group: $19,802. Middle half: $760 to $136,336.

A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.

393 active clinicians are listed under Nurse Practitioner with a practice address in San Antonio, TX (4,835 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Antonio

9.9% of these 393 clinicians have the CMS telehealth indicator.

51.7% of these 393 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 222 records totaling $7,716.17.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Travel and Lodging
In-kind items and services
MINIMED 780G General $639.02
Medtronic, Inc.
Travel and Lodging
In-kind items and services
MINIMED 780G General $446.97
Amgen Inc.
Food and Beverage
In-kind items and services
TEPEZZA General $149.99
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $149.92
Medtronic, Inc.
Food and Beverage
In-kind items and services
INPEN SMART INSULIN DELIVERY SYSTEM General $149.55
Sequel Med Tech, LLC
Food and Beverage
In-kind items and services
TWIIST General $149.16
Sequel Med Tech, LLC
Food and Beverage
In-kind items and services
TWIIST General $147.94
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $143.15
CeQur Corporation
Food and Beverage
Cash or cash equivalent
CeQur Simplicity General $136.50
Sequel Med Tech, LLC
Food and Beverage
In-kind items and services
TWIIST General $135.21
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $131.83
Insulet Corporation
Food and Beverage
Cash or cash equivalent
Omnipod General $128.25
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $128.25
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $124.98
Eli Lilly and Company
Food and Beverage
Cash or cash equivalent
ZEPBOUND General $124.98
Amgen Inc.
Food and Beverage
In-kind items and services
TEPEZZA General $123.30
Tandem Diabetes Care, Inc.
Food and Beverage
In-kind items and services
t:slim X2 Insulin Pump with Control-IQ General $121.36
Sequel Med Tech, LLC
Food and Beverage
In-kind items and services
TWIIST General $116.42
Medtronic, Inc.
Food and Beverage
In-kind items and services
MINIMED 780G General $106.84
Medtronic, Inc.
Food and Beverage
In-kind items and services
MINIMED 780G General $97.35
Insulet Corporation
Food and Beverage
Cash or cash equivalent
Omnipod General $90.11
Medtronic, Inc.
Food and Beverage
In-kind items and services
INPEN SMART INSULIN DELIVERY SYSTEM General $88.71
Insulet Corporation
Food and Beverage
Cash or cash equivalent
Omnipod General $88.48
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $82.24
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $81.08

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Mounjaro Tirzepatide 115 3,576 $130,434.78 36
Ozempic Semaglutide 51 1,910 $62,124.82 20
Levothyroxine Sodium Levothyroxine Sodium 30 2,340 $204.37 15
Metformin Hcl Er Metformin Hcl 25 1,600 $92.80 12
Metformin Hcl Metformin Hcl 15 1,230 $130.65 β€”
Trulicity Dulaglutide 15 476 $15,152.72 β€”
Omeprazole Omeprazole 14 1,020 $253.04 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES TX AP139666

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES TX AP139666
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20240621001181

Enrollment State Jurisdiction

TX

PECOS Control ID

5395288104

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
Dr. Firas Akhrass , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1487636205

Doctor of Medicine (M.D.)

Maricruz Arzeta-Francisco , FNP-C

Nurse Practitioner - Family

NPI 1184124604

Family Nurse Practitioner (Certified)

Robin Butcher , APRN

Nurse Practitioner - Family

NPI 1982330288

Advanced Practice Registered Nurse

NPI 1609364447

Doctor of Nursing Practice, Registered Nurse, Family Nurse Practitioner (Board Certified)

Priscilla Ching , APRN-CNP

Nurse Practitioner - Family

NPI 1487315263

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Kalicia Christie

Nurse Practitioner - Family

NPI 1033775572

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location May 06, 2024

Registered at 5107 MEDICAL DR, SAN ANTONIO, TX 782294801 (Tel: 2106148612)

βœ…
NPI Profile Active November 16, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 16, 2018

Registered at 9910 HUEBNER RD STE 250, SAN ANTONIO, TX 782401375 (Tel: 2106158500)

πŸ“
Business Mailing Address (Initial Record) November 16, 2018

Registered at 9910 HUEBNER RD STE 250, SAN ANTONIO, TX 782401375 (Tel: 2106158500)

πŸ‘€
Provider Name / Credentials (Initial Record) November 16, 2018

Recorded as AMY RIVAS, APRN, FNP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2018

Nurse Practitioner (license number reported to NPPES: TX AP139666)

🟒
Initial NPI Registration & Enumeration November 16, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699244830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2018
Last Update: May 06, 2024
Sole Proprietor: No

Other Nurse Practitioners in San Antonio

All Nurse Practitioners in San Antonio

Mailing Address

9910 Huebner Rd Ste 250

San Antonio, TX 782401375

Phone: 2106158500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.