Individual provider Active NPI

Rebekah Rose White, CNP

  • Family Nurse Practitioner
  • Baxter, MN
National Provider Identifier
1598744997
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R171566-6 Issued in MN
Practice address
13359 Isle Dr Ste 3
Baxter, MN 56425-2223
Phone
(218) 454-7546
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R171566-6 MN Primary

Addresses

Primary practice location

13359 Isle Dr Ste 3
Baxter, MN 56425-2223

Mailing address

13359 Isle Dr Ste 3
Baxter, MN 56425-2223
Phone (218) 454-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20060116000086 MN Practitioner - Nurse Practitioner 5698799831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Professionals, PAGroup PAC ID 4587753934, 9 clinicians

Practice addresses (Care Compare)

13359 Isle Dr
Suite 3
Baxter, MN 56425-2223
Phone (218) 454-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.53 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
95.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R171566-6MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Professionals, PA Current Accepting new patients
Dermatology Professionals, PA CurrentSince Mar 1, 2010 Accepting new patients
Dermatology Professionals PA CurrentSince Mar 1, 2010 Accepting new patients
Uptown Dermatology & Skin Spa, P.a. Past Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

13359 Isle Dr
Ste 3
Baxter, MN 56425
Phone (218) 454-7546

15167 Edgewood Dr
Ste 200
Brainerd, MN 56401
Phone (218) 454-7546

318 E Main St
Crosby, MN 56441
Phone (218) 546-8375

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1598744997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13359 ISLE DR STE 3",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564252223",
            "telephone_number": "218-454-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13359 ISLE DR STE 3",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564252223",
            "telephone_number": "218-454-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "REBEKAH",
        "middle_name": "ROSE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R171566-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.