Rebecca Lynn Bjorck, FNP-C
Individual provider Active NPI Nurse Practitioner · Horseheads, NY
NPI 1487916979 · NPPES record last updated Jun 8, 2016
Key facts
- NPI
- 1487916979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 339199 (NY)
- Practice address
- 100 John Roemmelt Dr
3Rd Floor
Horseheads, NY 14845-8301 - Phone
- (607) 739-0352
- Fax
- (607) 739-6909
- NPI assigned
- Jun 12, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arnot Ogden Medical Center
Wellnow Urgent Care, P.C.
Practice addresses (Care Compare)
600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118
830 County Rd
Suite 64
Elmira, NY 14903-9719
Phone (607) 846-2030
Hospital & facility affiliations
- Arnot Ogden Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 46.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141229001410 | NY | Practitioner - Nurse Practitioner | 2062661721 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Current |
Accepting new patients | |
| Exigence Medical of Binghamton PLLC | Current |
Accepting new patients | |
| Wellnow Urgent Care, PC | Current |
Accepting new patients | |
| Arnot Ogden Medical Center | Current |
Accepting new patients | |
| Arnot Ogden Medical Center | Current |
Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050
1138 Broadway St
Elmira, NY 14904
Phone (607) 734-2695
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
830 County Road 64
Elmira, NY 14903
Phone (607) 739-0495
100 John Roemmelt Dr
Ste 300
Horseheads, NY 14845
Phone (607) 739-8701
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
45 Mud Creek Rd
Troy, PA 16947
Phone (570) 297-3746
Interoperability endpoints
- rbjorck26729@direct.xtensys.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP012313 | PA | |
| Nurse Practitioner | 363L00000X | 339199 | NY | Yes |
Addresses
Primary practice location
100 John Roemmelt Dr
3Rd Floor
Horseheads, NY 14845-8301
Mailing address
571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03507426 | Medicaid | NY |
NPI Registry JSON
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1487916979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 SAINT JOSEPHS BLVD FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013230",
"telephone_number": "607-271-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JOHN ROEMMELT DR",
"address_2": "3RD FLOOR",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148458301",
"telephone_number": "607-739-0352",
"fax_number": "607-739-6909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORCK",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP012313",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "339199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03507426",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Horseheads, NY
- Bethany Retirement Home, Inc.
- Bethany Village Primary Care Network, Inc.
- Thomas Beyer
- Karena Marie Bifano
- Justin Bigg
- Susan White Blanchard
- Heather Blitz
- Megan Hays Blitz
- Julie Dorsey Boersen
- Stephen Joseph Bohac
All providers in Horseheads, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.