NPIMap

Individual provider Active NPI

Rebecca Kathryn Privon, FNP-C

  • Registered Nurse
  • Hattiesburg, MS
National Provider Identifier
1740691708
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R895251 Issued in MS
Practice address
4 Medical Blvd
Hattiesburg, MS 39401-7230
Phone
(601) 579-5444
Fax
(601) 579-3083
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R895251 MS Primary
Nurse Practitioner 363L00000X R895251 MS
Student in an Organized Health Care Education/Training Program 390200000X R895251 MS

Addresses

Primary practice location

4 Medical Blvd
Hattiesburg, MS 39401-7230

Mailing address

3277 E Louise Dr
Ste 350
Meridian, ID 83642-5510
Phone (208) 887-9500

Other identifiers 2

IdentifierTypeStateIssuer
08388778MedicaidMS
P01361202OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818000226 ID Practitioner - Nurse Practitioner 6406075373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finding Home Healthcare, Inc.Group PAC ID 7517248537, 17 clinicians
Idaho Arthritis and Osteoporosis Center PCGroup PAC ID 2769495464, 6 clinicians

Practice addresses (Care Compare)

1675 E Riverside Dr
Suite 200
Eagle, ID 83616-7473
Phone (888) 253-6598

3277 E Louise Dr
Suite 350
Meridian, ID 83642-5510
Phone (208) 887-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.03 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R895251MSMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Arthritis & Osteoporosis Center PC CurrentSince Sep 1, 2016 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Aug 9, 2025 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Aug 9, 2025 Accepting new patients

Locations

1818 S 10th Ave
Ste 120
Caldwell, ID 83605
Phone (208) 468-5959

1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 401-1048

3277 E Louise Dr
Ste 350
Meridian, ID 83642
Phone (208) 887-9500

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rebecca.privon.p1@direct.idahoarthritis.nextgenshare.com

Organizations & group practices 3

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 10

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1740691708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 E LOUISE DR",
            "address_2": "STE 350",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425510",
            "telephone_number": "208-887-9500",
            "fax_number": "208-887-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEDICAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017230",
            "telephone_number": "601-579-5444",
            "fax_number": "601-579-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVON",
        "first_name": "REBECCA",
        "middle_name": "KATHRYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R895251",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R895251",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MS",
            "license": "R895251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08388778",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01361202",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.