Individual provider Active NPI

Rebecca G Adams, PA

  • Surgical Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1811039969
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2006029620 Issued in MO
Practice address
621 S New Ballas Rd Ste 297a
Saint Louis, MO 63141-8200
Phone
(314) 251-6364
Fax
(314) 251-7897
NPI assigned
Feb 13, 2007
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2006029620 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 297a
Saint Louis, MO 63141-8200

Mailing address

621 S New Ballas Rd Ste 297a
Saint Louis, MO 63141-8200
Phone (314) 251-6364

Other practice location 1

701 S New Ballas Rd Ste 320
Saint Louis, MO 63141-8702
Phone (314) 251-6343

Other practice location 2

621 S New Ballas Rd Ste 298A
Saint Louis, MO 63141-8200
Phone (314) 251-6364

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070508000579 MO Practitioner - Physician Assistant 6406952498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 298a
Saint Louis, MO 63141-8200
Phone (314) 251-6364

621 S New Ballas Rd
Suite 3005B
Saint Louis, MO 63141-8266
Phone (314) 567-5850

851 E 5TH St
Suite 108
Washington, MO 63090-3128
Phone (636) 861-7870

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Mar 16, 2020 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 16, 2020 Accepting new patients
Mercy Orthopaedic Trauma Services, LLC Past Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Locations

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
#300B
Saint Louis, MO 63141
Phone (314) 251-7070

621 S New Ballas Rd
Ste 29
Saint Louis, MO 63141

621 S New Ballas Rd
Ste 297A
Saint Louis, MO 63141
Phone (314) 251-6343

621 S New Ballas Rd
Ste 298A
Saint Louis, MO 63141
Phone (314) 251-6830

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

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.

Hospital & facility affiliations 2

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1811039969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 297A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418200",
            "telephone_number": "314-251-6364",
            "fax_number": "314-251-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 297A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418200",
            "telephone_number": "314-251-6364",
            "fax_number": "314-251-7897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S New Ballas Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418702",
            "country_code": "US",
            "telephone_number": "314-251-6343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 S New Ballas Rd Ste 298A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418200",
            "country_code": "US",
            "telephone_number": "314-251-6364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "REBECCA",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2006029620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.