NPIMap

Individual provider Active NPI

Rebecca G Rankin, P.A.-C

  • Physician Assistant
  • Stanford, KY
National Provider Identifier
1144225111
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA343 Issued in KY
Practice address
132 Frontier Blvd Ste 101
Stanford, KY 40484-6516
Phone
(606) 727-5757
Fax
(606) 727-5777
NPI assigned
Jun 16, 2005
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA343 KY Primary

Addresses

Primary practice location

132 Frontier Blvd Ste 101
Stanford, KY 40484-6516

Mailing address

132 Frontier Blvd Ste 101
Stanford, KY 40484-6516
Phone (606) 727-5757

Other practice location 1

805 Bardstown Rd Ste 12
Springfield, KY 40069-1515
Phone (859) 481-7113

Other identifiers 1

IdentifierTypeStateIssuer
95002754MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000184 KY Practitioner - Physician Assistant 4183740434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanford Wellcare Clinic PLLCGroup PAC ID 3375945785, 2 clinicians

Practice addresses (Care Compare)

132 Frontier Blvd
Suite 101
Stanford, KY 40484-8513

132 Frontier Blvd
Suite 101
Stanford, KY 40484-8663
Phone (606) 727-5757

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA343KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Physician Assistant Past Accepting new patients
Saint Joseph Medical Foundation, Inc. Past Accepting new patients

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 8

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1144225111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FRONTIER BLVD STE 101",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404846516",
            "telephone_number": "606-727-5757",
            "fax_number": "606-727-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FRONTIER BLVD STE 101",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404846516",
            "telephone_number": "606-727-5757",
            "fax_number": "606-727-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Bardstown Rd Ste 12",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "KY",
            "postal_code": "400691515",
            "country_code": "US",
            "telephone_number": "859-481-7113",
            "fax_number": "859-481-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "REBECCA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95002754",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.