Active NPI
Rebecca L Cauthen, ACNP
- Gerontology Nurse Practitioner
- Madison, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R901830
- Practice address
- 189 Saddlebrook CV
Madison, MS 39110-6633 - Phone
- (601) 818-0020
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
MS
-
- Gerontology Nurse Practitioner
- Flowood, MS
- NPI 1285261123
Gerontology, MS
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1962523845
-
- Community/Retail Pharmacy
- Jackson, MS
- NPI 1255882890
-
- Adult Health Nurse Practitioner
- Jackson, MS
- NPI 1477479384
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MDB Behavioral Health Services LLCHeal All Wound Care LLC
Practice addresses (Care Compare)
1911 Mission
Vicksburg, MS 39180-3762
Phone (601) 456-2598
209 Front St
Vidalia, LA 71373-2837
Phone (601) 665-4162
660 Lakeland E Dr
Suite 210
Flowood, MS 39232-9777
Phone (601) 665-4162
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 54.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.72
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160323000411 | MS | Practitioner - Nurse Practitioner | 9638476484 | Reassigns benefits to 6 organizations |
| I20251028001243 | LA | Practitioner - Nurse Practitioner | 9638476484 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R901830 | MS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitalize Hydration Therapy, LLC | Gerontology | Current | Accepting new patients |
| Heal All Wound Care LLC | Current | Accepting new patients | |
| Uppal Medical Center LLC | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc | Current | Accepting new patients | |
| MDB Behavioral Health Services LLC | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Heal All Wound Care LLC | Past | Accepting new patients |
Locations
209 Front St
Vidalia, LA 71373
Phone (318) 336-6500
885 Liberty Rd
Ste 300
Flowood, MS 39232
Phone (601) 213-0069
660 Lakeland East Dr
Ste 210
Flowood, MS 39232
Phone (601) 664-4162
1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1151 N State St
Ste 404
Jackson, MS 39202
Phone (601) 292-4261
215 Katherine Dr
#A
Jackson, MS 39232
1225 N State St
Ste 100
Jackson, MS 39202
Phone (601) 360-8067
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R901830 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
189 Saddlebrook CV
Madison, MS 39110-6633
Mailing address
189 Saddlebrook CV
Madison, MS 39110-6633
Phone (601) 818-0020
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00757226 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2024.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1134589930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 SADDLEBROOK CV",
"city": "MADISON",
"state": "MS",
"postal_code": "391106633",
"telephone_number": "601-818-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 SADDLEBROOK CV",
"city": "MADISON",
"state": "MS",
"postal_code": "391106633",
"telephone_number": "601-818-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUTHEN",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MS",
"license": "R901830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00757226",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.