Individual provider Active NPI

Rebecca Lynn McCracken, CNM

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1265627871
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F001289-1 Issued in NY
Practice address
769 Broadway Ste 1019
New York, NY 10003-6803
Phone
(201) 564-5109
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F001289-1 NY Primary

Addresses

Primary practice location

769 Broadway Ste 1019
New York, NY 10003-6803

Mailing address

769 Broadway Ste 1019
New York, NY 10003-6803
Phone (201) 564-5109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20080108000619 NY Practitioner - Certified Nurse Midwife (CNM) 8820178460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001289-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Mid-Hudson Valley Inc CurrentSince Oct 1, 2018 Accepting new patients
Karadan Anesthesiology and Pain Management, LLP PastSince Mar 24, 2020 Accepting new patients
Allara Medical Group PA PastSince Jan 14, 2024 Accepting new patients

Locations

7 Coates Dr
Ste 4
Goshen, NY 10924
Phone (845) 280-0608

3125 US Route 9W
New Windsor, NY 12553
Phone (518) 691-0732

17 Noxon St
Poughkeepsie, NY 12601
Phone (845) 471-1530

Interoperability endpoints

  • Direct secure messaging: rebecca.mccracken@335000925634564.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1265627871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 BROADWAY STE 1019",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036803",
            "telephone_number": "201-564-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 BROADWAY STE 1019",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036803",
            "telephone_number": "201-564-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F001289-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.