Individual provider Active NPI

Rebekah Ayecock, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dermott, AR
National Provider Identifier
1104251180
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A005810 Issued in AR
Practice address
300 South School St
Dermott, AR 71638
Phone
(870) 538-3355
Fax
(855) 811-4203
NPI assigned
Sep 9, 2013
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A005810 AR Primary

Addresses

Primary practice location

300 South School St
Dermott, AR 71638

Mailing address

342 Highway 425 S
Monticello, AR 71655-4612
Phone (870) 942-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebekah.ayecock@mhsi.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205000052 AR Practitioner - Nurse Practitioner 9638423601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainline Health Systems IncGroup PAC ID 5193785590, 55 clinicians

Practice addresses (Care Compare)

300 S School St
Dermott, AR 71638-2127
Phone (870) 538-3355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005810ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc Current Accepting new patients
Mainline Health Systems Inc CurrentSince Sep 12, 2018 Accepting new patients
Mainline Health Systems, Inc CurrentSince Sep 12, 2018 Accepting new patients

Locations

300 S School St
Dermott, AR 71638
Phone (870) 538-3355

525 E Speedway St
Dermott, AR 71638
Phone (870) 277-2658

566 S Mabry St
Eudora, AR 71640
Phone (870) 201-2127

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

1109 Cub Dr
Hamburg, AR 71646
Phone (870) 224-0116

1119 S Main St
Hamburg, AR 71646
Phone (870) 229-0798

1205 E Dixon Rd
Little Rock, AR 72206
Phone (501) 234-2020

5205 W Sawmill Rd
Little Rock, AR 72206
Phone (870) 942-7927

250 University Dr
Monticello, AR 71655
Phone (479) 957-9685

342 Highway 425 S
Monticello, AR 71655
Phone (870) 723-4145

535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246

506 Little Creek Cut Off Rd
Sheridan, AR 72150
Phone (800) 204-1227

512 W Church St
#A
Sheridan, AR 72150
Phone (870) 484-4411

110 N Drew St
Star City, AR 71667
Phone (870) 628-5110

400 E Arkansas St
Rm E3
Star City, AR 71667
Phone (650) 419-2810

1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-6786

210 Scoby Dr
Warren, AR 71671

212 Scoby Dr
Warren, AR 71671
Phone (870) 226-6786

931 N Myrtle St
Bldg D
Warren, AR 71671
Phone (870) 355-2512

203 McCombs St
Wilmot, AR 71676
Phone (870) 473-2274

Interoperability endpoints

  • Direct secure messaging: rebekah.ayecock@mhsi.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1104251180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH SCHOOL ST",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "71638",
            "telephone_number": "870-538-3355",
            "fax_number": "855-811-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYECOCK",
        "first_name": "REBEKAH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A005810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebekah.ayecock@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "300 South School St",
            "city": "Dermott",
            "state": "AR",
            "country_code": "US",
            "postal_code": "71638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dermott, AR

Sources for this page

Verify at the official NPI Registry.