Individual provider Active NPI

Rebekah Lyn Bricker, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1083911747
Registry record updated Feb 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006193A Issued in IN
Practice address
63311 NE Jamison Street
Bend, OR 97703
Phone
(541) 322-7500
Fax
(541) 622-7565
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006193A IN Primary

Addresses

Primary practice location

63311 NE Jamison Street
Bend, OR 97703

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7638
Phone (541) 322-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110729000144 IN Practitioner - Clinical Social Worker 2769650183 Reassigns benefits to 1 organization
I20240501004061 OR Practitioner - Clinical Social Worker 2769650183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.43
Promoting interoperability
100
Improvement activities
40
Cost
82.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes County Oregon CurrentSince Mar 19, 2024 Accepting new patients
Deschutes County Oregon CurrentSince Mar 19, 2024 Accepting new patients
Deschutes County Oregon Current Accepting new patients
Eskenazi Medical Group Inc CurrentSince Mar 17, 2014 Accepting new patients

Locations

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1083911747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 NE COURTNEY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017638",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63311 NE JAMISON STREET",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-322-7500",
            "fax_number": "541-622-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKER",
        "first_name": "REBEKAH",
        "middle_name": "LYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006193A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.