Ryan Rebar, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP211535 Issued in ME

Practice address

175 W Broadway
Lincoln, ME 04457-4000

Phone

(207) 794-6700

NPI assigned

Nov 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bucksport Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Bucksport, ME
  • NPI 1043271133
  Medicare reassignment NPD
• Bucksport Regional Health Center

  dba BRHC Coastal Pharmacy

  • Community/Retail Pharmacy
  • Bucksport, ME
  • NPI 1194561837
  NPD
• Bucksport Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Ellsworth, ME
  • NPI 1568125011
  NPD (past)

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1750048237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ELIZABETH AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014519",
            "telephone_number": "207-249-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W BROADWAY",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574000",
            "telephone_number": "207-794-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBAR",
        "first_name": "RYAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP211535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Pollock, LADC
• Joanna Preble, LCSW
• Queen City Dentures and Partials, LLC (Licoln Denture Center)
• R & C Home Care, Inc. (Maine Home Care)
• Reality Therapy
• Carrie Moors Rich, OT
• Rite Aid of Maine Inc (Rite Aid Pharmacy 04178)
• Rivers Edge Behavioral Health Services, LLC
• Riverside Community Center
• Jerome P Roberts, DDS

• Family Nurse Practitioner in Lincoln, ME
• Providers in Lincoln, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.