Active NPI
Rebekah Perks, NP
- Adult Health Nurse Practitioner
- South Hadley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 258361
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4700 | Other | MA | BLUE 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
Enrollment records 1
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
Practice addresses (Care Compare)
470 Granby Rd
South Hadley, MA 01075-3222
Phone (413) 533-7200
Hospital & facility affiliations
- Baystate Medical Center
- Baystate Wing Hospital
- Mercy Medical Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate OB/GYN Group Inc | Current | 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
- https://api.platform.athenahealth.com/12089/brand/1/csg/1/fhir/r4
- 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.
-
- Obstetrics & Gynecology Physician
- Springfield, MA
- NPI 1366542342
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- Community Health Clinic/Center
- Chicopee, MA
- NPI 1518948595
-
- Community Health Clinic/Center
- Holyoke, MA
- NPI 1740271022
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Palmer, MA
- NPI 1962410233
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
-
- Rehabilitation Hospital Unit
- Springfield, MA
- NPI 1750360798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.