Individual provider Active NPI

Rebekah Marie Loveless, PA-C

  • Medical Physician Assistant
  • Lake Mary, FL
National Provider Identifier
1528326907
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9115142 Issued in FL
Practice address
719 Rodel CV Ste 1015
Lake Mary, FL 32746-5716
Phone
(407) 262-5800
Fax
(407) 636-7840
NPI assigned
Apr 24, 2012
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 006370 NY
Surgical Physician Assistant 363AS0400X PA9115142 FL
Medical Physician Assistant 363AM0700X PA9115142 FL Primary

Addresses

Primary practice location

719 Rodel CV Ste 1015
Lake Mary, FL 32746-5716

Mailing address

719 Rodel CV Ste 1015
Lake Mary, FL 32746-5716
Phone (407) 262-5800

Other practice location 1

4215 Edgewater Dr
Orlando, FL 32804-2206
Phone (470) 539-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120511000001 NY Practitioner - Physician Assistant 0345402236 Reassigns benefits to 3 organizations
I20211209000586 FL Practitioner - Physician Assistant 0345402236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

32 W Gore St
Orlando, FL 32806-1134

380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (407) 767-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006370NYMDCounselor
PA9115142FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Clinical Services,Inc. Surgical CurrentSince Jul 1, 2023 Accepting new patients
Rochester General Hospital CurrentSince Mar 2, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Newark Wayne Community Hospital CurrentSince May 1, 2012 Accepting new patients
Newark Wayne Community Hospital CurrentSince May 1, 2012 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Oct 1, 2013 Accepting new patients

Locations

719 Rodel Cv
Ste 1015
Lake Mary, FL 32746
Phone (407) 262-5800

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

4215 Edgewater Dr
Orlando, FL 32804
Phone (407) 539-2000

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1250 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2427

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Ste 400
Rochester, NY 14621
Phone (585) 922-4200

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1528326907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 RODEL CV STE 1015",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465716",
            "telephone_number": "407-262-5800",
            "fax_number": "407-636-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 RODEL CV STE 1015",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465716",
            "telephone_number": "407-262-5800",
            "fax_number": "407-636-7840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 Edgewater Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328042206",
            "country_code": "US",
            "telephone_number": "470-539-2000",
            "fax_number": "888-972-3704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELESS",
        "first_name": "REBEKAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-07-10",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006370",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9115142",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9115142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.