Active NPI
Rebecca Elaine Gilbertson, DNP CNM FNP
- Family Nurse Practitioner
- Medford, WI
National Provider Identifier
1144201757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1282
- Practice address
- 811 W. Broadway Ave.
Medford, WI 54451-1586 - Phone
- (715) 748-5580
- Fax
- (715) 748-5582
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1282 | WI | Primary |
| Advanced Practice Midwife | 367A00000X | 108463 | WI |
Addresses
Primary practice location
811 W. Broadway Ave.
Medford, WI 54451-1586
Mailing address
811 W Broadway Ave
Medford, WI 54451-1307
Phone (715) 748-5580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108463 | WI | MD | Advanced Practice Midwife |
Practice roles
Organizations & group practices 2
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.
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- NPI 1871630947
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- Winona, MN
- NPI 1326064908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1144201757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 W BROADWAY AVE",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511307",
"telephone_number": "715-748-5580",
"fax_number": "715-748-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 W. BROADWAY AVE.",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511586",
"telephone_number": "715-748-5580",
"fax_number": "715-748-5582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERTSON",
"first_name": "REBECCA",
"middle_name": "ELAINE",
"credential": "DNP CNM FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1282",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WI",
"license": "108463",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.