Individual provider Active NPI

Rebecca Anne Pollock

  • Primary Care Nurse Practitioner
  • Marksville, LA
National Provider Identifier
1144862855
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
222015 Issued in LA
Practice address
5541 Highway 1
Marksville, LA 71351-2650
Phone
(318) 240-7240
Fax
(318) 240-7118
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN148519 LA
Primary Care Nurse Practitioner 363LP2300X 222015 LA Primary

Addresses

Primary practice location

5541 Highway 1
Marksville, LA 71351-2650

Mailing address

5541 Highway 1
Marksville, LA 71351-2650
Phone (318) 240-7240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20211022000672 LA Practitioner - Nurse Practitioner 8224426358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Avoyelles LLCGroup PAC ID 8921380528, 39 clinicians

Practice addresses (Care Compare)

5541 Hwy 1
Marksville, LA 71351-2650
Phone (318) 240-7240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN148519LAMDRegistered Nurse
222015LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC CurrentSince Oct 18, 2021 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Oct 18, 2021 Accepting new patients
Hawkeye Medical, LLC CurrentSince Sep 19, 2024 Accepting new patients
CLHG-Avoyelles LLC Current Accepting new patients
Synergy Home Care Central Region Inc PastSince Oct 1, 2019 Accepting new patients

Locations

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

Interoperability endpoints

  • Direct secure messaging: rebecca.pollock.1@16696.direct.athenahealth.com
  • Direct secure messaging: rebecca.pollock.1@30808.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1144862855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "318-240-7240",
            "fax_number": "318-240-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "318-240-7240",
            "fax_number": "318-240-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN148519",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "222015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.