Rebeccah May Border, NP-C
Individual provider Active NPI Family Nurse Practitioner · Fenton, MI
NPI 1104268283 · NPPES record last updated Apr 10, 2019
Key facts
- NPI
- 1104268283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704251422 (MI)
- Practice address
- 3220 W Silver Lake Rd
Fenton, MI 48430-1374 - Phone
- (810) 208-7470
- Fax
- (810) 208-7471
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pic Indiana PC
Practice addresses (Care Compare)
25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20150302000582 | MI | Practitioner - Nurse Practitioner | 7012233471 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flushing Urgent Care PLC | Current |
Accepting new patients | |
| Pic Indiana PC | Current |
Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current |
Accepting new patients | |
| Covenant Medical Center, Inc | Current |
Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Elizabeth Lake Urgent Care PLLC | Current |
Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current |
Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current |
Accepting new patients | |
| Ahmed Abdullah MD PC | Past |
Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past |
Accepting new patients | |
| First Choice Urgent Care PC | Past |
Accepting new patients |
Locations
1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925
25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017
3220 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 208-7470
6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
5570 State St
Saginaw, MI 48603
Phone (989) 583-0100
3360 Tittabawassee Rd
Saginaw, MI 48604
Phone (989) 249-6010
2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704251422 | MI | Yes |
Addresses
Primary practice location
3220 W Silver Lake Rd
Fenton, MI 48430-1374
Mailing address
3220 W Silver Lake Rd
Fenton, MI 48430-1374
Phone (810) 208-7470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104268283 | Medicaid | MI |
Other providers in Fenton, MI
- Trish Ann Bloss
- Cheryl Bochenek
- Bret Daniel Boisclair
- Joseph Edward Booker II
- Cory T Borawski
- Bormans Inc
- Bormans Inc
- Megan Bosma
- Carlton O Bosse
- Jeffery Bossenberger
All providers in Fenton, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2019. 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.