Individual provider Active NPI

Rebecca Pothen, NP

  • Family Nurse Practitioner
  • Pomona, NY
National Provider Identifier
1447920780
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343889 Issued in NY
Practice address
5A Medical Park Dr
Pomona, NY 10970-3516
Phone
(845) 362-1081
Fax
(845) 362-7475
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F343889 NY Primary

Addresses

Primary practice location

5A Medical Park Dr
Pomona, NY 10970-3516

Mailing address

5A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-1081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211019000186 NY Practitioner - Nurse Practitioner 1355739640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockland Thoracic and Vascular Associates, P.C.Group PAC ID 8325936479, 10 clinicians

Practice addresses (Care Compare)

5 A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-1081

Merit-based Incentive Payment System (MIPS)

Final score
78.07 of 100Reported as group
Quality
45.39
Improvement activities
40
Cost
77.3

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
38.05
Improvement activities
40
Cost
79.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F343889NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Thoracic & Vascular Assoc. PLLC CurrentSince Dec 1, 2021 Accepting new patients
Rockland Thoracic & Vascular Associates, P.C. CurrentSince Dec 1, 2021 Accepting new patients

Locations

70 Hatfield Ln
Ste 202
Goshen, NY 10924
Phone (845) 291-3656

873 Route 45
Ste 105
New City, NY 10956
Phone (845) 362-1081

5A Medical Park Dr
Pomona, NY 10970
Phone (845) 362-0075

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1447920780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-362-1081",
            "fax_number": "845-362-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-362-1081",
            "fax_number": "845-362-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHEN",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.