Gilma Lizaida Rivas, - Medicare Nurse Practitioner in Bowie, MD

Gilma Lizaida Rivas, is a medicare enrolled "Nurse Practitioner - Family" in Bowie, Maryland. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Excelsior Healthcare Enterprises and her current practice location is 12520 Fairwood Pkwy, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 262-2300.

Gilma Lizaida Rivas is licensed to practice in Maryland (license number R194206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104472711.

Contact Information

Gilma Lizaida Rivas,
12520 Fairwood Pkwy,
Bowie, MD 20720-6343
(301) 262-2300
(844) 888-1044

Map and Direction




Provider's Profile

Full NameGilma Lizaida Rivas
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location12520 Fairwood Pkwy, Bowie, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gilma Lizaida Rivas graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1104472711
  • Provider Enumeration Date: 08/11/2019
  • Last Update Date: 11/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264864099
  • Enrollment ID: I20191118001125

Medical Identifiers

Medical identifiers for Gilma Lizaida Rivas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104472711NPI-NPPES
R194206OtherMDSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R194206 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Excelsior Healthcare Enterprises77193541092

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gilma Lizaida Rivas allows following entities to bill medicare on her behalf.
Entity NameFamilys Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619491735
PECOS PAC ID: 7012258429
Enrollment ID: O20190412000870
Entity NameExcelsior Healthcare Enterprises
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225781305
PECOS PAC ID: 7719354109
Enrollment ID: O20221027000545

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gilma Lizaida Rivas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gilma Lizaida Rivas,
12520 Fairwood Pkwy,
Bowie, MD 20720-6343

Ph: (301) 262-2300
Gilma Lizaida Rivas,
12520 Fairwood Pkwy,
Bowie, MD 20720-6343

Ph: (301) 262-2300

Reviews and Comments


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Mrs. Shavonne Marie Gumbs, MSN, FNP-BC
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Practice Location: 6111 High Bridge Rd, Bowie, MD 20720
Phone: 301-503-1490    Fax: 301-576-5197

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.