Individual provider Active NPI

Rebecca Rose Hoerth, APNP

  • Family Nurse Practitioner
  • Plymouth, WI
National Provider Identifier
1215336730
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5865-33 Issued in WI
Practice address
2631 Eastern Ave
Plymouth, WI 53073-4270
Phone
(920) 476-6350
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5865-33 WI Primary

Addresses

Primary practice location

2631 Eastern Ave
Plymouth, WI 53073-4270

Mailing address

2631 Eastern Ave
Plymouth, WI 53073-4270
Phone (920) 476-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20141114001663 WI Practitioner - Nurse Practitioner 2567684145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians

Practice addresses (Care Compare)

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

2631 Eastern Ave
Plymouth, WI 53073-4270
Phone (920) 320-2436

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5865WIMDMental Health Occupational Therapist
5865-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Jun 14, 2024 Accepting new patients
University of Wisconsin System Non Payroll Past Accepting new patients

Locations

889 E Johnson St
Fond du Lac, WI 54935
Phone (920) 367-6700

1081 E Johnson St
Fond du Lac, WI 54935
Phone (920) 367-3700

2631 Eastern Ave
Plymouth, WI 53073
Phone (920) 320-2436

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

Interoperability endpoints

  • Direct secure messaging: rhoerth710677@direct.froedtert.com

Organizations & group practices 2

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": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1215336730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 EASTERN AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734270",
            "telephone_number": "920-476-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 EASTERN AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734270",
            "telephone_number": "920-476-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERTH",
        "first_name": "REBECCA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5865-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, WI

Sources for this page

Verify at the official NPI Registry.