Rebecca Bae, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110-005460 Issued in VA

Practice address

5000 Monument Ave FL 2
Richmond, VA 23230-3627

Phone

(804) 269-8291

Fax

(804) 269-8293

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: rebecca.bae.1@19739.direct.athenahealth.com

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.

• Sleep Clinics of America, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Richmond, VA
  • NPI 1801140850
  Medicare reassignment

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1659827939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MONUMENT AVE FL 2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303627",
            "telephone_number": "804-269-8291",
            "fax_number": "804-269-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MONUMENT AVE FL 2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303627",
            "telephone_number": "804-269-8291",
            "fax_number": "804-269-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlon Jermaine Bacote, RPRS, CSAC-S, QMHP-A
• Pearl J Bader, M.D.
• Anish Jayantilal Badodariya, M.D.
• Narotham N Badrish, MD
• Ebone Charmaine Evans Bady, MD
• Mary Anne Baechle
• Matthew Stephen Baer, MD
• Sara Baffuto, NP
• Bagby & Shaw, Inc.
• John Rand Baggesen, MD

• Physician Assistant in Richmond, VA
• Providers in Richmond, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.