NPIMap

Individual provider Active NPI

Rebecca E Schultz, PA-C

  • Physician Assistant
  • Hot Springs, AR
National Provider Identifier
1760957351
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-809 Issued in AR
Practice address
1 Mercy LN
Hot Springs, AR 71913-6442
Phone
(501) 622-6500
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-809 AR Primary

Addresses

Primary practice location

1 Mercy LN
Hot Springs, AR 71913-6442

Mailing address

19986 Highway 84
Malvern, AR 72104-7805
Phone (501) 617-1700

Other identifiers 1

IdentifierTypeStateIssuer
1146143OtherNCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20181119000675 AR Practitioner - Physician Assistant 5496009094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI St Vincent Medical Group Hot SpringsGroup PAC ID 3971673716, 184 clinicians

Practice addresses (Care Compare)

1 Mercy LN
Hot Springs, AR 71913-6440

1 Mercy LN
Suite 106
Hot Springs National Park, AR 71913-6408
Phone (501) 609-2368

1 Mercy LN
Suite 200a
Hot Springs, AR 71913-6442
Phone (501) 525-4555

1 Mercy LN
Suite 201
Hot Springs National Park, AR 71913-6457
Phone (501) 321-2229

4419 N Hwy 7
Suite 200
Hot Springs Village, AR 71909-9301
Phone (501) 922-2217

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • St Vincent Medical Center/North Hospital, Sherwood, AR, CCN 040137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-809ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs MRI Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: randerson719764@directb.mercy.net

Organizations & group practices 2

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 9

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1760957351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19986 HIGHWAY 84",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721047805",
            "telephone_number": "501-617-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-622-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "REBECCA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1146143",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.