Individual provider Active NPI

Rebecca Ann Caples, PA

  • Physician Assistant
  • Glendale, WI
National Provider Identifier
1447812979
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
400 W River Woods Pkwy
Glendale, WI 53212-1060
Phone
(414) 465-3749
NPI assigned
Jul 4, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers Inc (314 clinicians)

Practice addresses (Care Compare)

1120 Homestead Rd N
Lehigh Acres, FL 33936-6044
Phone (239) 303-5020

12375 S Cleveland Ave
Fort Myers, FL 33907-3803
Phone (239) 936-2013

13005 Collier Blvd
Naples, FL 34116-4003
Phone (239) 354-4093

15165 McGregor Blvd
Fort Myers, FL 33908-1957
Phone (239) 945-9499

1838 Rye Rd
Suite 107
Bradenton, FL 34212-9038
Phone (941) 462-2004

19985 S Tamiami TRL
Estero, FL 33928-2268
Phone (239) 495-3317

2200 Tamiami TRL
Port Charlotte, FL 33948-2177
Phone (941) 613-0022

313 SW Pine Island Rd
Cape Coral, FL 33991-2043
Phone (239) 458-6755

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WI, FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190731003943 WI Practitioner - Physician Assistant 7012243892 Reassigns benefits to 1 organization
I20251010003955 FL Practitioner - Physician Assistant 7012243892 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc Current
since Nov 19, 2025
Accepting new patients
MD Now Medical Centers Inc Current
since Nov 19, 2025
Accepting new patients
Lakeshore Medical Clinic, LLC Current
since Jan 2, 2024
Accepting new patients
Aurora Medical Group, Inc. Current
since Jan 2, 2024
Accepting new patients
Lakeshore Medical Clinic LTD Current
since Jan 2, 2024
Accepting new patients
Aurora Advanced Healthcare Inc Current
since Jan 2, 2024
Accepting new patients
Aurora Advanced Healthcare, Inc. Current
since Jan 2, 2024
Accepting new patients
Aurora Medical Group, Inc. Current
since Jan 2, 2024
Accepting new patients
Sussex Famiily Practice Physical Therapy Past Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

16985 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 641-8400

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: rcaples175103@direct.myadvocateaurora.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

400 W River Woods Pkwy
Glendale, WI 53212-1060

Mailing address

19325 Foley Cir N
South Bend, IN 46637-5253

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100091501MedicaidWI

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address rcaples175103@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2024.

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1447812979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19325 FOLEY CIR N",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466375253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W RIVER WOODS PKWY",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121060",
            "telephone_number": "414-465-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPLES",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-04",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091501",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcaples175103@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16985 W Bluemound Rd",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530055909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2",
            "affiliation": "N",
            "address_1": "16985 W Bluemound Rd",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530055909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.