Active NPI
Rebekah C Medeiros, NP
- Family Nurse Practitioner
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12.012340
- Practice address
- 55 Park St
New Haven, CT 06511-5474 - Phone
- (203) 200-2486
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10.201037 | CT | |
| Family Nurse Practitioner | 363LF0000X | APRN03911 | RI | |
| Family Nurse Practitioner | 363LF0000X | 12.012340 | CT | Primary |
| Registered Nurse | 163W00000X | RN63513 | RI |
Addresses
Primary practice location
55 Park St
New Haven, CT 06511-5474
Mailing address
55 Park St
New Haven, CT 06511-5474
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5435
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10.201037 | CT | MD | Registered Nurse |
| RN63513 | RI | MD | Registered Nurse |
| 12.012340 | CT | MD | Family Nurse Practitioner |
| APRN03911 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Yale University | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
593 Eddy St
#122
Providence, RI 02903
Phone (401) 444-6195
593 Eddy St
Providence, RI 02903
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Providence, RI
- NPI 1396849782
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1386398535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115474",
"telephone_number": "203-200-2486"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-5435",
"fax_number": "401-444-8301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDEIROS",
"first_name": "REBEKAH",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "10.201037",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN03911",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "12.012340",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN63513",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
- Mikki Meadows-Oliver, APRN
- Borislav Meandzija, MD
- Adam Peter Mecca, M.D., PH.D.
- Marcia Cathleen Mecca, M.D.
- Christine Meche, CNM
- Annmarie Meder, LCSW
- Hema Mahendrasinh Medhat
- Medical Center Pharmacy and Home Care Center, Inc. (Apothecary and Wellness Center)
- Medical Oncology & Hematology PC (Diagnostic Hematology Lab)
- Medical Walk in Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.