NPIMap

Individual provider Active NPI

Rebecca L Allard, MD

  • Family Medicine Physician
  • Sidney, NE
National Provider Identifier
1821064635
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25260 Issued in NE
Practice address
1000 Pole Creek Xing Ste 1
Sidney, NE 69162-2902
Phone
(308) 254-5544
Fax
(308) 254-7258
NPI assigned
Feb 23, 2006
Last updated
Oct 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25260 NE Primary

Addresses

Primary practice location

1000 Pole Creek Xing Ste 1
Sidney, NE 69162-2902

Mailing address

1000 Pole Creek Crossing
Sidney, NE 69162-2900
Phone (308) 254-5825

Other names 1

  • Miss Rebecca L Lyon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20130827000575 NE Practitioner - Family PracticePractitioner - General Surgery 9335114982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2900

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5825

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne County Hospital Association Inc CurrentSince Jun 1, 2013 Accepting new patients
Cheyenne County Hospital Association CurrentSince Jun 1, 2013 Accepting new patients
SRMC Long Term Care LLC Past Accepting new patients
Great Plains of Cheyenne Co. Inc Past Accepting new patients

Locations

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

1000 Pole Creek Xing
Ste 1
Sidney, NE 69162
Phone (308) 254-5544

645 Osage St
Sidney, NE 69162
Phone (308) 254-5825

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sidney Regional Medical CenterSidney, NE, CCN 281357 Hospital Corporate Director Jan 1, 2017
Sidney Regional Medical Center Physicians ClinicSidney, NE, CCN 288514 Rural health clinic Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Jan 1, 2017
Nov 11, 2017
Nov 11, 2017
Sidney Regional Medical Center Walk in ClinicSidney, NE, CCN 288552 Rural health clinic Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Jan 1, 2017
Nov 1, 2019
Nov 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1821064635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK CROSSING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622900",
            "telephone_number": "308-254-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING STE 1",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622902",
            "telephone_number": "308-254-5544",
            "fax_number": "308-254-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLARD",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "25260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LYON",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sidney, NE

Sources for this page

Verify at the official NPI Registry.