Individual provider Active NPI

Rebecca Lynn Beecroft, AGPCNP-BC, PMHNP-BC

  • Adult Health Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1124483235
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
123790 Issued in WV
Practice address
199 Stratton Rd
Rutland, VT 05701-4890
Phone
(802) 775-7798
Fax
(802) 775-7762
NPI assigned
Dec 17, 2015
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 123790 WV Primary
Adult Health Nurse Practitioner 363LA2200X 101.0136813 VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0136813 VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 123790 WV

Addresses

Primary practice location

199 Stratton Rd
Rutland, VT 05701-4890

Mailing address

5191 Hickory St
Clarksburg, WV 26301-6944
Phone (775) 526-8747

Other practice location 1

550 N Pantano Rd Apt 263
Tucson, AZ 85710-1449
Phone (775) 526-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260515002927 NY Practitioner - Nurse Practitioner 1557666575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Family Counseling Center of Fulton County IncGroup PAC ID 0042283335, 14 clinicians

Practice addresses (Care Compare)

11 -21 Broadway St
Gloversville, NY 12078-3968
Phone (518) 725-4310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123790WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Washington Association for Mental Health, Inc Current Accepting new patients
Transitions Health Network LLC Past Accepting new patients
Real Simple Healthcare LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/
  • Direct secure messaging: rebecca.beecroft.1@24449.direct.athenahealth.com
  • Direct secure messaging: rebeccabeecroft@lprh.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1124483235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 HICKORY ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263016944",
            "telephone_number": "775-526-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014890",
            "telephone_number": "802-775-7798",
            "fax_number": "802-775-7762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N Pantano Rd Apt 263",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101449",
            "country_code": "US",
            "telephone_number": "775-526-8747",
            "fax_number": "641-244-3452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEECROFT",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "AGPCNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "123790",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0136813",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0136813",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "123790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.