Rebekah Lynn Mattingly, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010733 Issued in KY

Practice address

525 Tucker Dr
Maysville, KY 41056-9182

Phone

(606) 759-9921

Fax

(606) 759-9831

NPI assigned

Oct 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

2ND ChanceGroup PAC ID 3274965272, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• 2ND Chance

  • Addiction Medicine (Internal Medicine) Physician
  • Lexington, KY
  • NPI 1215348214
  Medicare reassignment Care Compare group NPD
• Meadowview Physician Practice, LLC

  • Otolaryngology Physician
  • Maysville, KY
  • NPI 1760893275
  Medicare reassignment NPD
• 2ND Chance

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1568128957
  NPD
• Meadowview Physician Practice LLC

  • Pulmonary Disease Physician
  • Maysville, KY
  • NPI 1386073872
  NPD
• Meadowview Physician Practice LLC

  • Rural Health Clinic/Center
  • Maysville, KY
  • NPI 1952152530
  NPD
• Mercy Health Clinics, LLC

  • Rural Health Clinic/Center
  • Beattyville, KY
  • NPI 1609151471
  NPD

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1578013587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7906",
            "fax_number": "615-920-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TUCKER DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569182",
            "telephone_number": "606-759-9921",
            "fax_number": "606-759-9831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "KY",
            "postal_code": "403367231",
            "country_code": "US",
            "telephone_number": "606-723-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "REBEKAH",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K228540",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100453290",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mason Co Health Dept. High School Clinic
• Mason Co Health Dept. Intermediate School
• Mason County
• Mason County Schools
• Mason Pharmacist Group LLC
• Maverick Optical LLC
• Jeffrey Allen Maves, CRNA
• Allen Mayberry, TCM
• Mary Elizabeth Mayhall
• Melinda Galliher Mays, LPCC

• Family Nurse Practitioner in Maysville, KY
• Providers in Maysville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.