Individual provider Active NPI

Rebecca A Bedich, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1689675795
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28201956A Issued in IN
Practice address
3630 Guion Rd
Indianapolis, IN 46222-1616
Phone
(317) 920-8439
Fax
(317) 614-9655
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN223321 OH
Certified Registered Nurse Anesthetist 367500000X 28201956A IN Primary

Addresses

Primary practice location

3630 Guion Rd
Indianapolis, IN 46222-1616

Mailing address

PO Box 3034
Indianapolis, IN 46206-3034
Phone (317) 920-8439

Other identifiers 1

IdentifierTypeStateIssuer
2276522MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000698 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254303522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jebs Anesthesia Consultants, LLCGroup PAC ID 4486046646, 37 clinicians
Amsurg Indianapolis Anesthesia LLCGroup PAC ID 7618291550, 6 clinicians

Practice addresses (Care Compare)

3212 Hickory Rd
Suite a
Mishawaka, IN 46545-8863
Phone (574) 855-2223

8424 Naab Rd
Indianapolis, IN 46260-1975
Phone (317) 871-7308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jebs Anesthesia Consultants, LLC CurrentSince Apr 9, 2024 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
Clinic Physician Services Co. LLC Past Accepting new patients
Jackson County Schneck Memorial Hospital Past Accepting new patients
Westgate Pain Management Group, LLC Past Accepting new patients
Northcoast Anesthesia Providers Past Accepting new patients
Westgate Medical Anesthesia Group Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

8805 N Meridian St
Ste 100
Indianapolis, IN 46260
Phone 3177067246109

1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1689675795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3034",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063034",
            "telephone_number": "317-920-8439",
            "fax_number": "317-614-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 GUION RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221616",
            "telephone_number": "317-920-8439",
            "fax_number": "317-614-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDICH",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN223321",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28201956A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2276522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.

Verify at the official NPI Registry.