Individual provider Active NPI

Rebekah Moore, PMHNP

  • Family Nurse Practitioner
  • Bedford, IN
National Provider Identifier
1144576232
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004002A Issued in IN
Practice address
2415 Mitchell Rd Ste C
Bedford, IN 47421-4747
Phone
(812) 393-8070
Fax
(812) 954-5024
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004002A IN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71004002A IN

Addresses

Primary practice location

2415 Mitchell Rd Ste C
Bedford, IN 47421-4747

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335

Other identifiers 1

IdentifierTypeStateIssuer
201109040MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20121030000301 IN Practitioner - Nurse Practitioner 0840440772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Health Centers IncGroup PAC ID 3971599473, 63 clinicians

Practice addresses (Care Compare)

2415 Mitchell Rd
Suite C
Bedford, IN 47421-4747
Phone (812) 393-8070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Bloomington Inc Family CurrentSince Aug 18, 2012 Accepting new patients
Indiana University Health Bloomington Inc CurrentSince Aug 18, 2012 Accepting new patients
Indiana Health Centers, Inc. CurrentSince Apr 23, 2025 Accepting new patients
Indiana Health Centers Inc CurrentSince Apr 23, 2025 Accepting new patients
Indiana Health Centers Inc Family Past Accepting new patients

Locations

7987 Solution Ctr
Chicago, IL 60677

2415 Mitchell Rd
Ste C
Bedford, IN 47421
Phone (812) 275-2660

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

2920 S McIntire Dr
Ste 250
Bloomington, IN 47403
Phone (812) 332-9217

995 S Clarizz Blvd
Bloomington, IN 47401
Phone (812) 353-3060

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

714 N Senate Ave
Ste 130
Indianapolis, IN 46202
Phone (317) 963-5582

8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335

765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990

35 Bob Babbs Dr
Spencer, IN 47460
Phone (812) 652-1700

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1144576232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-343-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MITCHELL RD STE C",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214747",
            "telephone_number": "812-393-8070",
            "fax_number": "812-954-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBEKAH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004002A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71004002A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201109040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.