Rebecca A Rivardo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA053211 Issued in PA

Practice address

1860 Fair Ave Ste a
Honesdale, PA 18431

Phone

(570) 253-3391

Fax

(570) 253-1811

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca A Ciccone Former name

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Gastroenterology Associates, PCGroup PAC ID 7113990912, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

Merit-based Incentive Payment System (MIPS)

Final score

85.46 of 100Reported as group

Quality

81.95

Improvement activities

40

Cost

75.59

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rrivardo@gastrohonesdale.medentdirect.com

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.

• Northeastern Gastroenterology Associates, PC

  • Gastroenterology Physician
  • Honesdale, PA
  • NPI 1942211248
  Medicare reassignment Care Compare group
• Maple City Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Honesdale, PA
  • NPI 1609068196
  NPD (past)
• Pathology Associates of NE PA LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dunmore, PA
  • NPI 1528022142
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wayne Memorial Hospital

  • General Acute Care Hospital
  • Honesdale, PA
  • NPI 1124026182
  Care Compare affiliation

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1326237710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 FAIR AVE STE A",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312108",
            "telephone_number": "570-253-3391",
            "fax_number": "570-253-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 FAIR AVE STE A",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "18431",
            "telephone_number": "570-253-3391",
            "fax_number": "570-253-1811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Park St",
            "address_2": "Emergency Medicine Department",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184311445",
            "country_code": "US",
            "telephone_number": "570-253-8140",
            "fax_number": "570-253-8633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVARDO",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053211",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CICCONE",
            "middle_name": "A",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Mark Richards, PT
• Melissa Lee Rickard, NP
• Sibyl Jane Rickard, M.D.
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00229)
• Eric Ray Rittenhouse, MD
• Keishla T Rivera Figueroa, MD
• Robert E Howell (Howell's Medicine Center)
• Joanne R Roberts, LPC
• Jennifer Lauren Rodriguez Aiello, MD
• Michael C Rogers, DDS

• Physician Assistant in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.