Individual provider Active NPI

Rebekah Irene King, FNP

  • Nurse Practitioner
  • Ellsworth, ME
National Provider Identifier
1710755970
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP231665 Issued in ME
Practice address
50 Water St.
Ellsworth, ME 04605
Phone
(207) 664-5672
Fax
(207) 664-5963
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP231665 ME Primary

Addresses

Primary practice location

50 Water St.
Ellsworth, ME 04605

Mailing address

473 Turkey Farm LN
Blue Hill, ME 04614-5241
Phone (207) 460-8837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240123001233 ME Practitioner - Nurse Practitioner 1355793621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

50 Union St
Ellsworth, ME 04605-1534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP231665MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Hill Memorial Hospital CurrentSince Jan 28, 2024 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jan 28, 2024 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jan 28, 2024 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Jan 28, 2024 Accepting new patients

Locations

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Brewer, ME 04412
Phone (207) 973-5000

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1710755970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 TURKEY FARM LN",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046145241",
            "telephone_number": "207-460-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WATER ST.",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-664-5672",
            "fax_number": "207-664-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "REBEKAH",
        "middle_name": "IRENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP231665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.