Active NPI
Rebecca M. Jeppson, FNP-C
- Family Nurse Practitioner
- Rexburg, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP920A
- Practice address
- 15 Madison Professional Park
Rexburg, ID 83440-2057 - Phone
- (208) 356-6185
- Fax
- (208) 356-0378
- NPI assigned
- Mar 25, 2009
- Last updated
- Feb 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP920A | ID | Primary |
| Registered Nurse | 163W00000X | N16709 | ID |
Addresses
Primary practice location
15 Madison Professional Park
Rexburg, ID 83440-2057
Mailing address
848 S 7TH W
Sugar City, ID 83448-5060
Phone (208) 356-6185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
570 Trejo St
Rexburg, ID 83440-2627
Phone 20888109025
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N16709 | ID | MD | Registered Nurse |
| NP920A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Healthcare PC | Nurse Practitioner | Current | Accepting new patients |
| Eagle Rock Physical Therapy PLLC | Past | Accepting new patients |
Locations
556 Trejo St
Ste B
Rexburg, ID 83440
Phone (208) 359-2263
570 Trejo St
Rexburg, ID 83440
Phone (208) 881-0902
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Idaho Falls, ID
- NPI 1174712418
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seasons Medical By Madison Memorial
- Obstetrics & Gynecology Physician
- Rexburg, ID
- NPI 1073154266
Hospital
-
- General Acute Care Hospital
- Rexburg, ID
- NPI 1992747570
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1033351895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 S 7TH W",
"city": "SUGAR CITY",
"state": "ID",
"postal_code": "834485060",
"telephone_number": "208-356-6185",
"fax_number": "208-356-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MADISON PROFESSIONAL PARK",
"city": "REXBURG",
"state": "ID",
"postal_code": "834402057",
"telephone_number": "208-356-6185",
"fax_number": "208-356-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEPPSON",
"first_name": "REBECCA",
"middle_name": "M.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP920A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "N16709",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.