Individual provider Active NPI

Rebekah Hassler, CNM, FNP

  • Advanced Practice Midwife
  • Saint Louis, MO
National Provider Identifier
1598853699
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
121145 Issued in MO
Practice address
3930 S Broadway
Saint Louis, MO 63118-4626
Phone
(314) 898-1999
Fax
(314) 814-8542
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 121145 MO
Advanced Practice Midwife 367A00000X 121145 MO Primary

Addresses

Primary practice location

3930 S Broadway
Saint Louis, MO 63118-4626

Mailing address

1612 Helen St
Saint Louis, MO 63106-3001
Phone (314) 482-9565

Other identifiers 1

IdentifierTypeStateIssuer
428889935MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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
I20130730000668 MO Practitioner - Certified Nurse Midwife (CNM) 1355524349 Reassigns benefits to 1 organization
I20190521001730 AR Practitioner - Certified Nurse Midwife (CNM) 1355524349 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121145MOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Mar 24, 2019 Accepting new patients
Affinia Healthcare CurrentSince Nov 22, 2024 Accepting new patients
Affinia Healthcare CurrentSince Nov 22, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 24, 2019 Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515

3930 S Broadway
Saint Louis, MO 63118
Phone (314) 577-6232

Interoperability endpoints

  • Direct secure messaging: rebekah.hassler.p1@direct.affiniahealthcare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1598853699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 HELEN ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063001",
            "telephone_number": "314-482-9565",
            "fax_number": "314-814-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184626",
            "telephone_number": "314-898-1999",
            "fax_number": "314-814-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSLER",
        "first_name": "REBEKAH",
        "credential": "CNM, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "121145",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "121145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428889935",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.