Reba Jean Mahaffey, RN MS FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001207A Issued in IN

Practice address

123 S McKinley Ave
Rensselaer, IN 47978-2949

Phone

(219) 866-7222

Fax

(219) 866-7001

NPI assigned

Feb 21, 2007

Last updated

Dec 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

Practice roles

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.

• Spence Rehabilitation Center, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Highland, IN
  • NPI 1801072962
  NPD (past)
• The Methodist Hospitals, Inc

  dba Methodist Northlake Physicians

  • Internal Medicine Physician
  • Gary, IN
  • NPI 1720290349
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1215072715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S MCKINLEY AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782949",
            "telephone_number": "219-866-7222",
            "fax_number": "219-866-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S MCKINLEY AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782949",
            "telephone_number": "219-866-7222",
            "fax_number": "219-866-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "REBA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN MS FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001207A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "473320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Sydney Krol, RN, LIFESTYLE COACH
• Sherrin Lebeau
• Kayla Legan
• Liberty Clinic LLC
• Christopher Michael Louck, M.D.
• Christine Marie Mahnesmith, MS OTR
• Lauren Manuel
• Markley Chiropractic Inc.
• Mariah N Massey
• Charlene T Maule, COTA

• Family Nurse Practitioner in Rensselaer, IN
• Providers in Rensselaer, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.