Rebecca Lynn Beecroft, AGPCNP-BC, PMHNP-BC
Individual provider Active NPI Adult Health Nurse Practitioner · Rutland, VT
NPI 1124483235 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1124483235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 123790 (WV)
- Practice address
- 199 Stratton Rd
Rutland, VT 05701-4890 - Phone
- (802) 775-7798
- Fax
- (802) 775-7762
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
11 -21 Broadway St
Gloversville, NY 12078-3968
Phone (518) 725-4310
Hospital & facility affiliations
- Rutland Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20260515002927 | NY | Practitioner - Nurse Practitioner | 1557666575 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123790 | WV | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Washington Association for Mental Health, Inc | Current | Accepting new patients | |
| Real Simple Healthcare LLC | Past | Accepting new patients | |
| Transitions Health Network LLC | Past | Accepting new patients |
Interoperability endpoints
- rebeccabeecroft@lprh.medalliesdirect.net
- rebecca.beecroft.1@24449.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.0136813 | VT | |
| Adult Health Nurse Practitioner | 363LA2200X | 123790 | WV | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | 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
Other providers in Rutland, VT
- Kayla Beauchamp
- Michele Ann Beaulieu
- Devin James Beayon
- Jason Mark Beckta
- Brie E Beckwith
- Mary M Beerworth
- Josefa Behrendt
- Whitney Anderson Behrendt
- Jamie S Belchak
- Betty Lou Bell
All providers in Rutland, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. 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.