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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (219 clinicians)
Wellnow Urgent Care, P.C. (395 clinicians)

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 Hospital · Elmira, NY · CCN 330090

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20141229001410 NY Practitioner - Nurse Practitioner 2062661721 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Current
since Sep 1, 2014
Accepting new patients
Exigence Medical of Binghamton PLLC Current
since Oct 1, 2014
Accepting new patients
Wellnow Urgent Care, PC Current
since Jun 1, 2018
Accepting new patients
Arnot Ogden Medical Center Current
since Oct 7, 2024
Accepting new patients
Arnot Ogden Medical Center Current
since Oct 7, 2024
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

  • Direct secure messaging: rbjorck26729@direct.xtensys.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03507426MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2016.

{
    "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

All providers in Horseheads, NY · Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.