Individual provider Active NPI

Rebecca Silva Ekstrand, DO

  • Psychiatry Physician
  • Chillicothe, OH
National Provider Identifier
1003303868
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34014560 Issued in OH
Practice address
455 Shawnee LN
Chillicothe, OH 45601-4145
Phone
(740) 773-1141
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 34014560 OH Primary

Addresses

Primary practice location

455 Shawnee LN
Chillicothe, OH 45601-4145

Mailing address

455 Shawnee LN
Chillicothe, OH 45601-4145

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.counseling@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021003080 OH Practitioner - Psychiatry 4789931643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio University, College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

455 N Shawnee Lane
Chillicothe, OH 45601-9031
Phone (740) 779-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34014560OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 21, 2021 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 21, 2021 Accepting new patients
Adena Medical Group LLC Psychiatry CurrentSince Oct 17, 2022 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients

Locations

100 Hospital Dr
Athens, OH 45701
Phone (740) 589-4136

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

455 Shawnee Ln
Chillicothe, OH 45601
Phone (740) 779-4865

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: rekstrand1066408@direct.osumc.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1003303868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SHAWNEE LN",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456014145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SHAWNEE LN",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456014145",
            "telephone_number": "740-773-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKSTRAND",
        "first_name": "REBECCA",
        "middle_name": "SILVA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34014560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.counseling@adena.medicity.net",
            "affiliation": "N",
            "address_1": "455 Shawnee Ln",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456014145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.