Active NPI
Rebecca Danielle McCoy, AUD.
- Audiologist
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.001324
- Practice address
- 101 W. McKinley Ave.
Decatur, IL 62526 - Phone
- (217) 876-3682
- Fax
- (217) 876-3345
- NPI assigned
- Aug 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A . 01644 | OH | |
| Audiologist | 231H00000X | 147.001324 | IL | Primary |
Addresses
Primary practice location
101 W. McKinley Ave.
Decatur, IL 62526
Mailing address
101 W. McKinley Ave.
Decatur, IL 62526
Phone (217) 876-3682
Other names 1
- Miss Rebecca Danielle Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W McKinley Ave
Decatur, IL 62526-3286
Phone (217) 876-3682
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.88 of 100
- Quality
- 63.91
- Improvement activities
- 40
- Cost
- 77.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.001324 | IL | MD | Audiologist |
| A . 01644 | OH | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current | Accepting new patients | |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| Ear Nose Throat Head & Neck Surgeons of NE Ohio Inc | Past | Accepting new patients |
Locations
101 W McKinley Ave
Decatur, IL 62526
Phone (217) 876-3682
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
Interoperability endpoints
- rebeccawilson@sfc.allscriptsdirect.net
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.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1164477725
-
dba Professional Fees
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
-
- Health Service Clinic/Center
- Mansfield, OH
- NPI 1225164007
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1659527828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W. MCKINLEY AVE.",
"city": "DECATUR",
"state": "IL",
"postal_code": "62526",
"telephone_number": "217-876-3682",
"fax_number": "217-876-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W. MCKINLEY AVE.",
"city": "DECATUR",
"state": "IL",
"postal_code": "62526",
"telephone_number": "217-876-3682",
"fax_number": "217-876-3345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "REBECCA",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "AUD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-07",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OH",
"license": "A . 01644",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.001324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "WILSON",
"middle_name": "DANIELLE",
"prefix": "MISS",
"credential": "AUD.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.