Active NPI
Rebecca Hull, AGNP-C
- Adult Health Nurse Practitioner
- Denham Springs, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 234599
- Practice address
- 315 Veterans Blvd
Denham Springs, LA 70726-4722 - Phone
- (225) 667-5110
- Fax
- (833) 357-1731
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 234599 | LA | |
| Adult Health Nurse Practitioner | 363LA2200X | 234599 | LA | Primary |
Addresses
Primary practice location
315 Veterans Blvd
Denham Springs, LA 70726-4722
Mailing address
31864 Linder Rd
Denham Springs, LA 70726-1516
Phone (225) 278-8286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240530001969 | LA | Practitioner - Nurse Practitioner | 5092157446 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234599 | LA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Wellness and Health Care of Louisiana LLC | Single Specialty | Current | Accepting new patients |
| Baton Rouge General Medical Center | Single Specialty | Current | Accepting new patients |
| Baton Rouge General Medical Center | Single Specialty | Current | Accepting new patients |
| Baton Rouge General Medical Center | Single Specialty | Past | Accepting new patients |
Locations
8490 Picardy Ave
Ste 100B
Baton Rouge, LA 70809
8595 Picardy Ave
Ste 203
Baton Rouge, LA 70809
Phone (225) 237-1608
8585 Picardy Ave
Ste 318
Baton Rouge, LA 70809
Phone (225) 333-3800
315 Veterans Blvd
Denham Springs, LA 70726
Phone (225) 667-5110
Interoperability endpoints
- rebecca.hull.1@21711.direct.athenahealth.com
- rhull28691@brgeneralhealthsystem.direct-ci.com
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.
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- Gastroenterology Physician
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Single Specialty
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- NPI 1063199586
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Single Specialty
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baton Rouge General Medical Center
Practice addresses (Care Compare)
8595 Picardy Ave
Suite 203
Baton Rouge, LA 70809-3670
Phone (225) 387-7077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1487412003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31864 LINDER RD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707261516",
"telephone_number": "225-278-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 VETERANS BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264722",
"telephone_number": "225-667-5110",
"fax_number": "833-357-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "REBECCA",
"credential": "AGNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "LA",
"license": "234599",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "LA",
"license": "234599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.