Active NPI
Rebecca L Schulz, AGPCNP-BC
- Adult Health Nurse Practitioner
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2014039302
- Practice address
- 1417 N Mount Auburn Rd
Cape Girardeau, MO 63701-2171 - Phone
- (573) 334-6053
- NPI assigned
- Feb 2, 2015
- Last updated
- Nov 7, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2014039302 | MO | Primary |
| Registered Nurse | 163W00000X | 2010022298 | MO |
Addresses
Primary practice location
1417 N Mount Auburn Rd
Cape Girardeau, MO 63701-2171
Mailing address
1417 N Mount Auburn Rd
Cape Girardeau, MO 63701-2171
Phone (573) 334-6053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760872469 | Medicaid | MO |
Other names 1
- Ms. Rebecca L Ledbetter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 Grand Canyon Dr
Farmington, MO 63640-2161
Phone (573) 756-8911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010022298 | MO | MD | Registered Nurse |
| 2014039302 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Truhealth, LLC | Current | Accepting new patients | |
| Restore Health LLP | Current | Accepting new patients | |
| Karefirst Missouri PC | Current | Accepting new patients | |
| Lutheran Home for the Aged | Past | Accepting new patients |
Locations
6348 N Milwaukee Ave
Ste 390
Chicago, IL 60646
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 432-0682
2825 Bloomfield Rd
Cpe Girardeau, MO 63703
Phone (573) 334-1515
705 Grand Canyon Dr
Farmington, MO 63640
Phone (573) 756-2750
11221 N Nashua Dr
Kansas City, MO 64155
Phone (816) 734-4433
904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485
12101 Woodcrest Executive Dr
Ste 103
Saint Louis, MO 63141
Phone (314) 983-9355
13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259
731 N Main St
Sikeston, MO 63801
Phone (573) 471-1276
3403 W Mount Vernon St
Springfield, MO 65802
Phone (417) 864-5600
1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 847-1356
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Saint Peters, MO
- NPI 1942658943
-
- Internal Medicine Physician
- Creve Coeur, MO
- NPI 1659093318
-
- Skilled Nursing Facility
- Cape Girardeau, MO
- NPI 1376539320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1760872469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 N MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012171",
"telephone_number": "573-334-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 N MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012171",
"telephone_number": "573-334-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2014039302",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2010022298",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760872469",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "LEDBETTER",
"middle_name": "L",
"prefix": "MS.",
"credential": "AGPCNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.