Active NPI
Rebecca Anne Perry, CNP
- Adult Health Nurse Practitioner
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN.CNP.023452
- Practice address
- 2141 N Fairfield Rd
Ste B
Beavercreek, OH 45431-2579 - Phone
- (419) 575-5642
- NPI assigned
- Aug 16, 2018
- Last updated
- Jun 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.023452 | OH | Primary |
Addresses
Primary practice location
2141 N Fairfield Rd
Ste B
Beavercreek, OH 45431-2579
Mailing address
4510 Dorr St # Ms 840
Toledo, OH 43615-4040
Phone (419) 383-3963
Other practice location 1
3000 Arlington Ave
Toledo, OH 43614-2598
Phone (419) 383-3963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0318882 | Medicaid | OH |
Other names 1
- Rebecca Anne Reynolds
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rperry640463@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | rebecca.reynolds.1@9641.direct.athenahealth.com | University of Toledo Physicians LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3239 Jefferson Ave
Suite 1
Cincinnati, OH 45220-2270
Phone 99799192769276
9200 Worthington Rd
Suite 300
Westerville, OH 43082-7240
Phone (337) 991-9276
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Physician Services of Ohio LLC | Current | Accepting new patients | |
| Curana Health of Ohio | Current | Accepting new patients | |
| Medical University of Ohio at Toledo | Current | Accepting new patients |
Locations
3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697
9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rperry25349@direct.utoledo.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1760114961
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1538899638
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1326747734
-
dba University of Toledo Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Toledo Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1396225793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 DORR ST # MS 840",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436154040",
"telephone_number": "419-383-3963",
"fax_number": "419-383-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 N FAIRFIELD RD",
"address_2": "STE B",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312579",
"telephone_number": "419-575-5642"
}
],
"practiceLocations": [
{
"address_1": "3000 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142598",
"country_code": "US",
"telephone_number": "419-383-3963",
"fax_number": "419-383-6167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "REBECCA",
"middle_name": "ANNE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN.CNP.023452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318882",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rperry640463@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3533 Southern Blvd Ste 2100",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291267",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3533 Southern Blvd Ste 2100",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291267",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebecca.reynolds.1@9641.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "University of Toledo Physicians LLC",
"address_1": "3000 Arlington Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436142598",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "REYNOLDS",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.