Rebecca Ann Ruby Domsic, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

MW010544 Issued in PA

Practice address

1693 S Queen St
York, PA 17403-4609

Phone

(717) 845-1621

Fax

(717) 854-6939

NPI assigned

Mar 26, 2015

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Rebecca Ann Ruby Ailstock Other name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: railstock189439@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba Wellspan Family Medicine-Baltimore St

  • Family Medicine Physician
  • Hanover, PA
  • NPI 1184962821
  NPD

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1205220274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-845-1621",
            "fax_number": "717-854-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034609",
            "telephone_number": "717-845-1621",
            "fax_number": "717-854-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMSIC",
        "first_name": "REBECCA",
        "middle_name": "ANN RUBY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MD",
            "license": "R221168",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WV",
            "license": "90889",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "AILSTOCK",
            "middle_name": "ANN RUBY",
            "credential": "CNM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa A. Dolan, D.D.S., M.P.H
• Cheryl Doland, MD
• Marina Dolina, M.D.
• Kelly Jae Dolphin, DPT
• Patricia Dominick
• George K Donavos, CRNP
• Jennifer M Donnelly, OTR/L
• Vijaya Saradhi Dontu, MD
• Kathryn C Doores, CRNA
• Nicole Doran

• Advanced Practice Midwife in York, PA
• Providers in York, PA by specialty
• Advanced Practice Midwife in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.