Individual provider Active NPI

Rebecca Anne Phillips

  • Physician Assistant
  • Selinsgrove, PA
National Provider Identifier
1437618188
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
201 Roosevelt Ave
Selinsgrove, PA 17870-7969
Phone
(570) 374-0151
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

201 Roosevelt Ave
Selinsgrove, PA 17870-7969

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rphillips189883@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190906000855 PA Practitioner - Physician Assistant 8022347681 Reassigns benefits to 2 organizations

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
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

175 Northumberland St
Danville, PA 17821-1508
Phone (570) 284-4575

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Apr 2, 2020 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Sep 15, 2019 Accepting new patients
Geisinger Clinic CurrentSince Sep 15, 2019 Accepting new patients
Geisinger Clinic Sunbury Physician Assistant Current Accepting new patients
Geisinger Clinic Past Accepting new patients
Geisinger Clinic Selinsgrove Physician Assistant Past Accepting new patients

Locations (25 of 26)

174 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

240 Mall Blvd
Bloomsburg, PA 17815
Phone (570) 416-5435

2407 Reichart Rd
Bloomsburg, PA 17815
Phone (570) 784-6320

425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474

224 N Logan Blvd
Burnham, PA 17009
Phone (717) 242-0196

42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

175 Northumberland St
Danville, PA 17821
Phone (570) 284-4575

100 N Academy Ave
Danville, PA 17822

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

119 Nevada Dr
Kulpmont, PA 17834
Phone (570) 373-1250

68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830

155 S Arch St
Ste B
Milton, PA 17847
Phone (570) 742-2655

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

529 Terry Reiley Way
Pottsville, PA 17901
Phone (570) 624-4120

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

201 Roosevelt Ave
Selinsgrove, PA 17870
Phone (570) 372-8803

1020 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2290

631 Northern Blvd
South Abington Township, PA 18411
Phone (570) 340-6920

1630 N Atherton St
State College, PA 16803
Phone (814) 238-1279

385 State St
Sunbury, PA 17801
Phone (570) 286-6773

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

Interoperability endpoints

  • Direct secure messaging: rphillips189883@direct.geisinger.edu

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1437618188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROOSEVELT AVE",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178707969",
            "telephone_number": "570-374-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rphillips189883@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 Roosevelt Ave",
            "city": "Selinsgrove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178707969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

Verify at the official NPI Registry.