Individual provider Active NPI

Rebecca Lynn McIntire, APRN, FNP

  • Family Nurse Practitioner
  • Breckenridge, TX
National Provider Identifier
1669648036
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP107992 Issued in TX
Practice address
101 S Hartford St
Breckenridge, TX 76424-4711
Phone
(254) 559-3363
Fax
(254) 559-5561
NPI assigned
May 5, 2008
Last updated
May 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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 AP107992 TX Primary

Addresses

Primary practice location

101 S Hartford St
Breckenridge, TX 76424-4711

Mailing address

101 S Hartford St
Breckenridge, TX 76424-4711
Phone (254) 559-3363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090612000253 TX Practitioner - Nurse Practitioner 1557411527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephens Memorial HospitalGroup PAC ID 9739239864, 3 clinicians

Practice addresses (Care Compare)

101 S Hartford St
Breckenridge, TX 76424-4711
Phone (254) 559-3363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP107992TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens Memorial Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rebecca.mcintire.1@6815.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1669648036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S HARTFORD ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244711",
            "telephone_number": "254-559-3363",
            "fax_number": "254-559-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S HARTFORD ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244711",
            "telephone_number": "254-559-3363",
            "fax_number": "254-559-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP107992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, TX

Sources for this page

Verify at the official NPI Registry.