Individual provider Active NPI

Rebecca Gamble, PAC

  • Physician Assistant
  • Indiana, PA
National Provider Identifier
1245238252
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003307L Issued in PA
Practice address
850 Hospital Rd
Suite 2200
Indiana, PA 15701-3662
Phone
(724) 464-0270
Fax
(724) 464-0274
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003307L PA Primary

Addresses

Primary practice location

850 Hospital Rd
Suite 2200
Indiana, PA 15701-3662

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7196

Other identifiers 1

IdentifierTypeStateIssuer
434000OtherBS#

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.gamble@irmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080107000122 PA Practitioner - Physician Assistant 4486734241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indiana Healthcare Physician Services IncGroup PAC ID 5294723359, 151 clinicians

Practice addresses (Care Compare)

145 Irmc Dr
Indiana, PA 15701-3673
Phone (724) 357-7404

850 Hospital Rd
Indiana, PA 15701-3662
Phone (888) 452-4762

875 Hospital Rd
Irmc Physician Group
Indiana, PA 15701-3629
Phone (724) 347-7493

879 Hospital Rd
Indiana, PA 15701-3629
Phone (888) 452-4762

Hospital & facility affiliations

  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA003307LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services Inc CurrentSince Nov 10, 2013 Accepting new patients
Irmc Urgicare at Indiana CurrentSince Nov 10, 2013 Accepting new patients

Locations

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

850 Hospital Rd
Ste 2200
Indiana, PA 15701
Phone (724) 464-0270

Interoperability endpoints

  • Direct secure messaging: rebecca.gamble@irmc.cernerdirect.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 4

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1245238252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7196",
            "fax_number": "724-464-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL RD",
            "address_2": "SUITE 2200",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013662",
            "telephone_number": "724-464-0270",
            "fax_number": "724-464-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "REBECCA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003307L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS#",
            "identifier": "434000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.gamble@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Direct Messaging",
            "address_1": "850 Hospital Rd",
            "address_2": "Suite 2200",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.