Rebecca Ann Kooistra, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5006440 Issued in NC

Practice address

7228 Pittsboro-Moncure Rd
Moncure, NC 27559

Phone

(919) 542-4991

Fax

(919) 542-3726

NPI assigned

Sep 16, 2013

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

University of California, San Francisco School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Health Services IncGroup PAC ID 3476462102, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Piedmont Health Services, Inc.

  dba Carrboro Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Carrboro, NC
  • NPI 1164526109
  Medicare reassignment Care Compare group NPD
• Piedmont Health Services, Inc.

  dba Piedmont Efland School Based Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Efland, NC
  • NPI 1528817590
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1508292178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LLOYD ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101823",
            "telephone_number": "919-942-8741",
            "fax_number": "919-942-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 PITTSBORO-MONCURE RD",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "27559",
            "telephone_number": "919-542-4991",
            "fax_number": "919-542-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOISTRA",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa D. Gilmer-Scott, MD
• Mary Holmes, FNP
• Sharon Rosser Hutchens, PHARM. D.
• Zoe Elizabeth Jennings
• Elizabeth Kearney, PHARMD
• Lyb Co LLC (MC2 Professional Care Services)
• William Martin, MD
• John Messenheimer, MD
• Yareli Gabriela Morehouse, PA-C
• Navid Nesab, DDS

• Family Nurse Practitioner in Moncure, NC
• Providers in Moncure, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.

Verify at the official NPI Registry.