Individual ProviderSkye RiveraNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(646) 410-6542PECOS EnrollmentBased on the most recent information from CMS, provider Skye Rivera does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1346778172Provider TypeIndividualFull NameRivera, SkyeCredentialNPGenderFemaleSole ProprietorYesEnumeration Date5/24/2017Last Updated2/16/2026Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(646) 410-6542FaxUnlisted FaxMailing LocationMailing Address10175 Little Patuxent Pkwy, Columbia, MD 21044-2655Phone(646) 410-6542FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF306941-1New York