Rebecca L McCollaum, A.P.R.N.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3681 Issued in AZ

Practice address

603 W Baseline Rd Ste 200
Mesa, AZ 85210-6047

Phone

(480) 461-1088

Fax

(480) 461-1657

NPI assigned

Jan 16, 2008

Last updated

Nov 27, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Merit-based Incentive Payment System (MIPS)

Final score

81.75 of 100Reported as group

Quality

60.45

Promoting interoperability

97

Improvement activities

40

Cost

81.21

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Abdul Memon, MD, PLLC

  dba Cardiovascular Associates of Arizona

  • Cardiovascular Disease Physician
  • Globe, AZ
  • NPI 1760622344
  Medicare reassignment NPD
• Arizona Digestive Health, PC

  • Gastroenterology Physician
  • Scottsdale, AZ
  • NPI 1992981583
  Medicare reassignment NPD
• Mesa Gastrointestinal Assoc PC

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1821295502
  NPD (past)
• Phoenix Neurological Institute, Inc

  dba Phoenician Behavioral Health

  • Neurology Physician
  • Chandler, AZ
  • NPI 1336319086
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669658969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E CAMELBACK RD STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164418",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W BASELINE RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106047",
            "telephone_number": "480-461-1088",
            "fax_number": "480-461-1657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 S Dobson Rd",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024725",
            "country_code": "US",
            "telephone_number": "480-461-1088",
            "fax_number": "480-461-1657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21321 E Ocotillo Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851425994",
            "country_code": "US",
            "telephone_number": "480-461-1088",
            "fax_number": "480-461-1657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLAUM",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mesagi@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Arizona Digestive Health, PC",
            "address_1": "603 W Baseline Rd Ste 200",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852106047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley McCleary
• Matthew Henry McClement, DMD
• Rebecca McClintic, DPT
• Noel June Fernandez McCluney, PT, DPT
• Jason McClure
• Kathleen Ann McCollum, R.N.
• Rithirat John McCollum, COTA
• Renae McCombs, CPNP-AC
• Susan Marie McConnell, PHARMD
• David Fairbanks McCook, D.D.S.

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• 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.

Verify at the official NPI Registry.