Rebecca Lynn Osborne – Internal Medicine Physician

Key facts

NPI: 1194711697
Entity type: Individual (NPI type 1)
Primary specialty: Internal Medicine Physician 207R00000X
License: E3720 (AR)
Practice address: 1309 W Main St
Walnut Ridge, AR 72476-1430
Phone: (870) 886-3211
Fax: (870) 886-3616
NPI assigned: Sep 21, 2005
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

St Bernards Hospital Inc General Acute Care Hospital · Jonesboro, AR · NPI 1336150374

Medicare reassignment NPD AR
St Bernards Hospital Inc. General Acute Care Hospital · Jonesboro, AR · NPI 1396053096

NPD
Ozarks Medical Center General Acute Care Hospital · West Plains, MO · NPI 1831115641

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20040129000624	AR	Practitioner - Internal Medicine Practitioner - Pediatric Medicine	2668375486	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
E3720	AR	MD	Pediatric Adolescent Medicine Physician

Practice roles

Organization	Status	New patients
St Bernards Hospital Inc	Current since Aug 4, 2003	Accepting new patients
St Bernards Hospital Inc.	Current since Aug 4, 2003	Accepting new patients
Ozarks Medical Center	Past	Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

1007 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 336-0472

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1309 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-1200

Interoperability endpoints

Direct secure messaging: fammed@lmh.hin.us

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Adolescent Medicine Physician	2080A0000X	E3720	AR
Internal Medicine Physician	207R00000X	E3720	AR	Yes

Addresses

Primary practice location

1309 W Main St
Walnut Ridge, AR 72476-1430

Mailing address

PO Box 839
Walnut Ridge, AR 72476-0839
Phone (870) 886-3211

Other identifiers

Identifier	Type	State	Issuer
150035001	Medicaid	AR

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	FamMed@lmh.hin.us	Health Information Exchange (HIE)

Other providers in Walnut Ridge, AR

Stephanie Marie Nichols, RN
Alexandria Nicole Noe, QBHP
Northeast Arkansas Community Mental Health Center Inc
Northeast Arkansas Educational Cooperative
Northeast Arkansas Service Company
Monica Keeley Pearcy, QBHP
Shawn C Peyton, M.D.
Cristy Phillips, PT
Heather Nicole Phillips, LCSW
Michael L Powell, PH.D., LPC, LADAC

All providers in Walnut Ridge, AR · Internal Medicine Physician in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.