Rebecca Coble, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Black Rock, AR
NPI 1013439082 · NPPES record last updated May 8, 2020
Key facts
- NPI
- 1013439082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A005216 (AR)
- Practice address
- 3519 Highway 63
Black Rock, AR 72415-9022 - Phone
- (870) 878-4005
- Fax
- (870) 994-7488
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bradley Bibb MD PLLC
Practice addresses (Care Compare)
3519 Hwy 63
Black Rock, AR 72415-9022
Phone (870) 878-4005
Hospital & facility affiliations
- Arkansas Methodist Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180219002822 | AR | Practitioner - Nurse Practitioner | 4486915246 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005216 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Bradley Bibb MD PLLC | Current |
Accepting new patients | |
| Bradley Bibb MD PLLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas, LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas, LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients |
Locations
3519 Highway 63
Black Rock, AR 72415
Phone (870) 878-4005
104 W State St
Caraway, AR 72419
Phone (870) 565-9205
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762
3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080
Interoperability endpoints
- rebecca.coble.1@2424.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005216 | AR | Yes |
Addresses
Primary practice location
3519 Highway 63
Black Rock, AR 72415-9022
Mailing address
4196 Highway 62 412 Ste a
Hardy, AR 72542-8002
Other providers in Black Rock, AR
- Julia Baker
- Kirsten Baker
- Sara Bayird
- Bradley Bibb MD PLLC
- Functional Headache and Wellness Medicine
- Patricia Dianne Milgrim
All providers in Black Rock, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.