Individual provider Active NPI

Rebecca L. Price, PA-C

  • Physician Assistant
  • Petoskey, MI
National Provider Identifier
1447573126
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005724 Issued in MI
Practice address
114 Rush St
Petoskey, MI 49770-2920
Phone
(231) 347-5511
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4704260468 MI
Physician Assistant 363A00000X 5601005724 MI Primary

Addresses

Primary practice location

114 Rush St
Petoskey, MI 49770-2920

Mailing address

560 W Mitchell St Ste 500
Petoskey, MI 49770-2277
Phone (231) 487-2100

Other practice location 1

704 Emmet St
Petoskey, MI 49770-2910
Phone (231) 347-9880

Other practice location 2

560 W Mitchell St
Suite 400
Petoskey, MI 49770-2275
Phone (231) 487-2490

Other identifiers 2

IdentifierTypeStateIssuer
1447573126MedicaidMI
P12980009OtherMIMEDICARE ID

Other names 1

  • Rebecca L Church Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100618000228 MI Practitioner - Physician Assistant 8527198522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Workit Health Mi PLLCGroup PAC ID 6406101625, 22 clinicians

Practice addresses (Care Compare)

302 Orchard Ridge Dr
Petoskey, MI 49770-8414
Phone (231) 347-9880

3300 Washtenaw Ave
Suite 280
Ann Arbor, MI 48104-5184
Phone (734) 329-5419

704 Emmet St
Petoskey, MI 49770-2910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601005724MIMDPhysician Assistant
4704260468MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Hall, Inc. CurrentSince Jun 8, 2022 Accepting new patients
Workit Health Mi PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

704 Emmet St
Petoskey, MI 49770
Phone (231) 347-5511

704 Emmet St
#B
Petoskey, MI 49770
Phone (231) 347-5511

114 Rush St
Petoskey, MI 49770
Phone (231) 347-5511

Interoperability endpoints

  • Direct secure messaging: rebeccaprice@petoskey.allscriptsdirect.net
  • Direct secure messaging: rebecca.price@597174495543300.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1447573126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST STE 500",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702277",
            "telephone_number": "231-487-2100",
            "fax_number": "231-487-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 RUSH ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702920",
            "telephone_number": "231-347-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Emmet St",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702910",
            "country_code": "US",
            "telephone_number": "231-347-9880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 W Mitchell St",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702275",
            "country_code": "US",
            "telephone_number": "231-487-2490",
            "fax_number": "231-487-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "REBECCA",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "4704260468",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447573126",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "P12980009",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CHURCH",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.