Individual provider Active NPI

Rebecca Berk Willis, CNM

  • Advanced Practice Midwife
  • Middlebury, VT
National Provider Identifier
1578988358
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
101.0136183 Issued in VT
Practice address
116 Porter Dr
Middlebury, VT 05753-8501
Phone
(802) 388-6326
Fax
(802) 388-4904
NPI assigned
Mar 3, 2014
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F0015461 NY
Advanced Practice Midwife 367A00000X 101.0136183 VT Primary

Addresses

Primary practice location

116 Porter Dr
Middlebury, VT 05753-8501

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other practice location 1

Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone (928) 729-8000 ext. 8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151124002728 TX Practitioner - Certified Nurse Midwife (CNM) 3476853326 Reassigns benefits to 1 organization
I20231025002288 VT Practitioner - Certified Nurse Midwife (CNM) 3476853326 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001546NYMDMarriage & Family Therapist
F0015461NYMDAdvanced Practice Midwife
101.0136183VTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital, Inc CurrentSince Sep 12, 2023 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation Current Accepting new patients
Porter Hospital Inc Current Accepting new patients

Locations

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

116 Porter Dr
Middlebury, VT 05753
Phone (802) 388-6326

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

Interoperability endpoints

  • Direct secure messaging: rwillis547679@direct.uvmhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1578988358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PORTER DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538501",
            "telephone_number": "802-388-6326",
            "fax_number": "802-388-4904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Corner of Route N12 and N7",
            "address_purpose": "LOCATION",
            "city": "Fort Defiance",
            "state": "AZ",
            "postal_code": "86504",
            "country_code": "US",
            "telephone_number": "928-729-8000 x8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "REBECCA",
        "middle_name": "BERK",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F0015461",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "101.0136183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.