Individual provider Active NPI

Rebekah E Doty, FNP-C

  • Family Nurse Practitioner
  • Effingham, IL
National Provider Identifier
1790332450
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019685 Issued in IL
Practice address
900 W Temple Ave Ste 208
Effingham, IL 62401-2187
Phone
(217) 342-0211
Fax
(217) 342-0232
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209019685 IL Primary

Addresses

Primary practice location

900 W Temple Ave Ste 208
Effingham, IL 62401-2187

Mailing address

900 W Temple Ave Ste 208
Effingham, IL 62401-2187
Phone (217) 342-0211

Other practice location 1

601 W Washington St Ste 1
Newton, IL 62448-1264
Phone (618) 783-0954

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebekah.doty.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20191126000454 IL Practitioner - Nurse Practitioner 8224461678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc CurrentSince Oct 28, 2019 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Jan 1, 2025 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Jan 1, 2025 Accepting new patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Oct 28, 2019 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

900 W Temple Ave
Ste 208
Effingham, IL 62401
Phone (217) 342-0211

302 N Mill St
Greenup, IL 62428
Phone (217) 923-3311

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1275 Hawthorn Rd
Salem, IL 62881
Phone (618) 548-4545

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

Interoperability endpoints

  • Direct secure messaging: rebekah.doty.1@9559.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1790332450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 208",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012187",
            "telephone_number": "217-342-0211",
            "fax_number": "217-342-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 208",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012187",
            "telephone_number": "217-342-0211",
            "fax_number": "217-342-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Washington St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "IL",
            "postal_code": "624481264",
            "country_code": "US",
            "telephone_number": "618-783-0954",
            "fax_number": "618-783-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTY",
        "first_name": "REBEKAH",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebekah.doty.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "900 W Temple Ave Ste 208",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.