Jean Piere Rivera Nieves, PA
NPI 1053946459ActiveIndividual· Physician Assistant, Medical· Bonney Lake, WA
Physician Assistant, Medical (PA) with South Hill Family Medicine PC and 2 other groups, practicing in Bonney Lake, Washington. 197 Medicare patients in 2024, $16,732 paid; nearly all of their 498 Part D prescriptions were generic (92%).
Overview
| NPI | 1053946459 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Mar 5, 2020 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA61031699 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 197 |
|---|---|
| Services billed | 424 across 42 procedure codes |
| Paid by Medicare | $16,732 |
Part D prescriptions in 2024
| Prescriptions (claims) | 498 · 575 30-day fills |
|---|---|
| Patients | 323 |
| Total drug cost | $11,409 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- South Hill Family Medicine PCBonney Lake, WA · 65 clinicians
- Carbon Health Medical Group of Florida PAPuyallup, WA · 56 clinicians
- Carbon Health Medical Group of Washington PCPuyallup, WA · 15 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Bonney Lake
- 1134364813
- 1154804854
- 1922811686