Rebecca Stillwell, AP 60897709
Individual provider Active NPI Nurse Practitioner · Inchelium, WA
NPI 1639638372 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1639638372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 60897709 (WA)
- Practice address
- 39 Shortcut Road
Inchelium, WA 99138 - Phone
- (509) 722-7006
- Fax
- (509) 722-3652
- NPI assigned
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colville Nation Community Health Centers
Confederated Tribes of the Colville Reservation
Practice addresses (Care Compare)
39 Short Cut Rd
Inchelium, WA 99138-0290
PO Box
Inchelium, WA 99138-0290
Hospital & facility affiliations
- Providence Mount Carmel Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20231213000683 | TX | Practitioner - Nurse Practitioner | 5597094326 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00148167 | WA | MD | Registered Nurse |
| 60897709 | WA | MD | Nurse Practitioner |
| AP60897709 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colville Nation Community Health Centers | Current |
Accepting new patients | |
| Colville Nation Community Health Centers | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60897709 | WA | |
| Nurse Practitioner | 363L00000X | 60897709 | WA | Yes |
| Registered Nurse | 163W00000X | RN00148167 | WA |
Addresses
Primary practice location
39 Shortcut Road
Inchelium, WA 99138
Mailing address
39 Shortcut Road
Inchelium, WA 99138
Phone (509) 722-7006
Other providers in Inchelium, WA
- Kimberly Rose Simpson
- Susan Dawn Solomon-Hopkins
- Shad Burnett St Paul
- Brenda Christine Starkey
- Crystal Gale Stensgar
- Brandi Swan
- Tyrell Allen Tonasket
- Maria Teresa Ouano Trevino
- Rodolfo Nieto Trevino
- Melonie S. Trudell
All providers in Inchelium, WA · Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. 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.