Individual provider Active NPI

Rebecca Lou Beauchamp, PA-C

  • Physician Assistant
  • Depauw, IN
National Provider Identifier
1427364926
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002958A Issued in IN
Practice address
10081 Fredericksburg Rd NW
Depauw, IN 47115-8629
Phone
(812) 347-2568
Fax
(812) 347-2568
NPI assigned
Aug 23, 2010
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002958A IN Primary
Surgical Physician Assistant 363AS0400X PA2599 KY
Surgical Assistant 246ZC0007X NU

Addresses

Primary practice location

10081 Fredericksburg Rd NW
Depauw, IN 47115-8629

Mailing address

10081 Fredericksburg Rd NW
Depauw, IN 47115-8629
Phone (812) 347-2568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20201210002532 IN Practitioner - Physician Assistant 0345652699 Reassigns benefits to 1 organization
I20210803000592 KY Practitioner - Physician Assistant 0345652699

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1101 N Jim Day Rd
Salem, IN 47167-5201

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002958AINMDPhysician Assistant
PA2599KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
R & L Surgical Services Surgical CurrentSince Jun 4, 2023 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Oct 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1427364926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10081 FREDERICKSBURG RD NW",
            "city": "DEPAUW",
            "state": "IN",
            "postal_code": "471158629",
            "telephone_number": "812-347-2568",
            "fax_number": "812-347-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10081 FREDERICKSBURG RD NW",
            "city": "DEPAUW",
            "state": "IN",
            "postal_code": "471158629",
            "telephone_number": "812-347-2568",
            "fax_number": "812-347-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "REBECCA",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002958A",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA2599",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depauw, IN

Sources for this page

Verify at the official NPI Registry.