Rebekah Sprouse, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD49739 Issued in TN

Practice address

1 Medical Center Blvd
Suite 103
Cookeville, TN 38501-4294

Phone

(931) 783-2770

Fax

(931) 525-1176

NPI assigned

Jun 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

University of North Carolina at Chapel Hill School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cookeville Hospitalist Group PLLCGroup PAC ID 1254794282, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Hospice, Nashville, TN, CCN 441545
• Kindred Hospice Hospice, Cookeville, TN, CCN 441520
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

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.

• Cookeville Hospitalist Group, PLLC

  • Hospitalist Physician
  • Cookeville, TN
  • NPI 1467133371
  Medicare reassignment Care Compare group NPD
• App of Tennessee HM, PLLC

  • Hospitalist Physician
  • Shelbyville, TN
  • NPI 1396160768
  Medicare reassignment NPD
• Cookeville Regional Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Cookeville, TN
  • NPI 1649202102
  NPD (past)

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

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• Tnmo Healthcare, LLC

  • Community Based Hospice Care Agency
  • Nashville, TN
  • NPI 1407807688
  Care Compare affiliation
• Wiregrass Hospice, LLC

  • Community Based Hospice Care Agency
  • Cookeville, TN
  • NPI 1720081409
  Care Compare affiliation

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1396056164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N OAK AVE",
            "address_2": "SUITE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012435",
            "telephone_number": "931-783-5582",
            "fax_number": "931-526-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "SUITE 103",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-783-2770",
            "fax_number": "931-525-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "REBEKAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "MD49739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4352422",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002274",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100410150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Colleen Spezia, MPT
• Haleigh Spivey
• Zachary Scott Spoerl, LPC
• Johnna Sprague, FNP
• Tara Sprenger
• Jonathon Srour, DPM
• Rachel Marie St. Charles
• Christa St. John, LPN
• Shawn Paul Stachler, D.O.
• James G Staggs, D.O.

• Hospitalist Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Hospitalist Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.