Rebecca Cao
Individual provider Active NPI Primary Care Nurse Practitioner · Lee, MA
NPI 1558041327 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1558041327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- RN2319242 (MA)
- Practice address
- 710 Stockbridge Rd
Lee, MA 01238-9316 - Phone
- (413) 243-0122
- NPI assigned
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suburban Internal Medicine, Inc.
Practice addresses (Care Compare)
710 Stockbridge Rd
Lee, MA 01238-9316
Phone (413) 243-0122
Hospital & facility affiliations
- Amedisys Home Health Care
- Berkshire Medical Center
- Fairview Hospital
- North Adams Regional Hospital Corporation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20240327000778 | MA | Practitioner - Nurse Practitioner | 0244677177 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2319242 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Internal Medicine, Inc. | Current |
Accepting new patients |
Locations
710 Stockbridge Rd
Lee, MA 01238
Phone (413) 243-0122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN2319242 | MA | Yes |
Addresses
Primary practice location
710 Stockbridge Rd
Lee, MA 01238-9316
Mailing address
710 Stockbridge Rd
Lee, MA 01238-9316
Other providers in Lee, MA
- Logan Broggi
- Metta Burpee
- C. Jones DMD PC
- Linda Caesar
- Amy C Campion
- Diane Lynn Carroll
- Peter E Cerruti
- Christian Counseling and Reconciliation Inc
- Jean F. Clarke-Mitchell
- Terrance Alan Clarke
All providers in Lee, MA · Primary Care Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. 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.