Individual provider Active NPI

Rebekah A. Robinson, M.D.

  • Family Medicine Physician
  • Palmer, AK
National Provider Identifier
1184777310
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9501523 Issued in NC
Practice address
209 W Evergreen Ave
Palmer, AK 99645-6952
Phone
(907) 861-1450
Fax
(907) 861-1480
NPI assigned
Jan 19, 2007
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9501523 NC Primary

Addresses

Primary practice location

209 W Evergreen Ave
Palmer, AK 99645-6952

Mailing address

209 W Evergreen Ave Ste a
Palmer, AK 99645-6952
Phone (907) 861-1450

Other identifiers 2

IdentifierTypeStateIssuer
P00862371OtherNCRR MEDICARE
1033TOtherNCBCBS OF NC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebekah.robinson.1@2839.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190304000795 TX Practitioner - Family Practice 4688717358 Reassigns benefits to 1 organization
I20220523000269 AK Practitioner - Family Practice 4688717358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Mat-Su Valley III LLCGroup PAC ID 5496941502, 26 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085

209 W Evergreen Ave
Palmer, AK 99645-6952

2490 S Woodworth Loop
Palmer, AK 99645-7407

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9501523NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahtna T' Aene Nene' CurrentSince Nov 6, 2018 Accepting new patients
Mat-Su Valley III LLC Family Medicine CurrentSince Jun 12, 2022 Accepting new patients
Mat-Su Valley III LLC CurrentSince Jun 1, 2022 Accepting new patients
Mat-Su Valley III LLC CurrentSince Jun 1, 2022 Accepting new patients
Parkway Family Physicians PA Family Medicine Past Accepting new patients

Locations

209 W Evergreen Ave
Palmer, AK 99645
Phone (907) 861-1400

209 W Evergreen Ave
Ste A
Palmer, AK 99645
Phone (907) 861-1450

209 W Evergreen Ave
Ste B
Palmer, AK 99645
Phone (907) 861-1400

950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444

950 E Bogard Rd
Ste 213
Wasilla, AK 99654
Phone (907) 373-8050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1184777310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W EVERGREEN AVE STE A",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456952",
            "telephone_number": "907-861-1450",
            "fax_number": "907-861-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W EVERGREEN AVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456952",
            "telephone_number": "907-861-1450",
            "fax_number": "907-861-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "REBEKAH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00862371",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1033T",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebekah.robinson.1@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "209 W Evergreen Ave Ste A",
            "city": "Palmer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996456952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.