Individual provider Active NPI

Rebekah Perks, NP

  • Adult Health Nurse Practitioner
  • South Hadley, MA
National Provider Identifier
1730150863
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
258361 Issued in MA
Practice address
470 Granby Rd
Raymond Medical Center
South Hadley, MA 01075-3218
Phone
(413) 533-7200
Fax
(413) 794-8583
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 258361 MA Primary

Addresses

Primary practice location

470 Granby Rd
Raymond Medical Center
South Hadley, MA 01075-3218

Mailing address

Raymond Medical Center
470 Granby Rd
South Hadley, MA 01075
Phone (413) 533-7200

Other identifiers 1

IdentifierTypeStateIssuer
NP4700OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040915000633 MA Practitioner - Nurse Practitioner 3870560121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate OB/GYN Group IncGroup PAC ID 1153392659, 20 clinicians

Practice addresses (Care Compare)

470 Granby Rd
South Hadley, MA 01075-3222
Phone (413) 533-7200

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate OB/GYN Group Inc CurrentSince Nov 10, 2010 Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients
Baystate Medical Practices, Inc Past Accepting new patients

Locations

382 N Main St
Ste 205
East Longmeadow, MA 01028
Phone (413) 525-5244

470 Granby Rd
South Hadley, MA 01075
Phone (413) 533-3926

2 Medical Center Dr
Ste 206
Springfield, MA 01107
Phone (413) 784-8484

50 Union St
West Springfield, MA 01089
Phone (413) 732-0040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12089/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebekah.perks.1@12089.direct.athenahealth.com

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 5

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730150863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RAYMOND MEDICAL CENTER",
            "address_2": "470 GRANBY RD",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "01075",
            "telephone_number": "413-533-7200",
            "fax_number": "413-794-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 GRANBY RD",
            "address_2": "RAYMOND MEDICAL CENTER",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010753218",
            "telephone_number": "413-533-7200",
            "fax_number": "413-794-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKS",
        "first_name": "REBEKAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "258361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP4700",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

Verify at the official NPI Registry.