Individual provider Active NPI

Rebecca Mae Traylor, APRN

  • Family Medicine Physician
  • Leesburg, FL
National Provider Identifier
1679365274
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11039590 Issued in FL
Practice address
1649 Selkirk Dr
Leesburg, FL 34788-7659
Phone
(352) 504-1743
NPI assigned
May 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11039590 FL Primary

Addresses

Primary practice location

1649 Selkirk Dr
Leesburg, FL 34788-7659

Mailing address

1649 Selkirk Dr
Leesburg, FL 34788-7659
Phone (352) 504-1743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260113001870 FL Practitioner - Nurse Practitioner 3779069497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buchanan Physical Medicine, Inc.Group PAC ID 1153609441, 4 clinicians

Practice addresses (Care Compare)

9836 US Hwy 441
Leesburg, FL 34788-3918
Phone (352) 787-8531

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11039590FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buchanan Physical Medicine, Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

9836 US Highway 441
Leesburg, FL 34788
Phone (352) 787-8531

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1679365274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 SELKIRK DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887659",
            "telephone_number": "352-504-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 SELKIRK DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887659",
            "telephone_number": "352-504-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "REBECCA",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11039590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.