Rebecca Lynn Smith
Individual provider Active NPI Nurse Practitioner · Fall River, MA
NPI 1063974368 · NPPES record last updated Sep 8, 2024
Key facts
- NPI
- 1063974368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN2295227 (MA)
- Practice address
- 1620 President Ave
Fall River, MA 02720-7148 - Phone
- (508) 672-2403
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southcoast Hospitals Group Inc
Practice addresses (Care Compare)
101 Page St
New Bedford, MA 02740-3464
Phone (508) 997-1515
Hospital & facility affiliations
- Southcoast Hospitals Group
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20190607000158 | MA | Practitioner - Nurse Practitioner | 7113250069 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2295227 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Medical PC | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Southcoast Hospitals Group Inc | Current |
Accepting new patients | |
| Southcoast Hospitals Group, Inc | Current |
Accepting new patients | |
| Compass Medical PC | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients |
Locations
1 Compass Way
Ste 200
East Bridgewater, MA 02333
Phone (508) 350-2300
1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100
208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300
874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
Interoperability endpoints
- rgaudet16640@direct.southcoast.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2295227 | MA | Yes |
Addresses
Primary practice location
1620 President Ave
Fall River, MA 02720-7148
Mailing address
1620 President Ave
Fall River, MA 02720-7148
Phone (866) 389-2727
Other practice location 1
208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-2659
Other providers in Fall River, MA
- George Herbert Smith
- Maire Harold Smith
- Michelle Smith
- Rebecca Smith
- Rebecca Lauren Smith
- Richard Smith
- Richard W Smith
- Robert Bruce Smith
- Sean Smith
- Lauren Sniezek
All providers in Fall River, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2024. 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.