Individual provider Active NPI

Rebecca Alyse Belschner, FNP

  • Nurse Practitioner
  • Conway, SC
National Provider Identifier
1295833085
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5003250 Issued in NC
Practice address
100 Professional Park Dr
Conway, SC 29526-9260
Phone
(843) 234-0005
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3194 SC
Nurse Practitioner 363L00000X 5003250 NC Primary

Addresses

Primary practice location

100 Professional Park Dr
Conway, SC 29526-9260

Mailing address

6700 Albemarle Rd
Charlotte, NC 28212-3856
Phone (704) 921-1000

Other identifiers 2

IdentifierTypeStateIssuer
QNP360MedicaidSC
1295833085MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170515001443 IA Practitioner - Nurse Practitioner 4284635822 Reassigns benefits to 1 organization
I20200409000190 SC Practitioner - Nurse Practitioner 4284635822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5003250NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ottumwa Health Group LLC CurrentSince May 15, 2017 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Ottumwa Health Group LLC CurrentSince May 15, 2017 Accepting new patients
Careteam Plus, Inc. Past Accepting new patients
MC Family Medical, PLLC PastSince Apr 1, 2018 Accepting new patients
FCRX Inc Past Accepting new patients

Locations

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

121 Washington Ave N
Minneapolis, MN 55401
Phone (612) 424-0434

2 Office Park Ct
Columbia, SC 29223

Interoperability endpoints

  • Direct secure messaging: rebecca.belschner@450368864321540.direct.elationemr.com

Organizations & group practices 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1295833085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123856",
            "telephone_number": "704-921-1000",
            "fax_number": "704-921-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269260",
            "telephone_number": "843-234-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSCHNER",
        "first_name": "REBECCA",
        "middle_name": "ALYSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3194",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5003250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QNP360",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295833085",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.