Individual provider Active NPI

Rebeka Hadchiti

  • Nurse Practitioner
National Provider Identifier
1831076926
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704317496 Issued in MI
Practice address
42 Sandy Lake Drive
Leamington, ON N8H 5K4
CA
Phone
(226) 345-9263
NPI assigned
Aug 19, 2025
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704317496 MI Primary

Addresses

Primary practice location

42 Sandy Lake Drive
Leamington, ON N8H 5K4
CA

Mailing address

42 Sandy Lake Drive
Leamington, ON N8H 5K4
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20251203001400 MI Practitioner - Nurse Practitioner 5092208546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19725 Allen Rd
Suite 102
Brownstown TWP, MI 48183-1090

24430 Ford Rd
Suite a
Dearborn Heights, MI 48127-3280

255 W Michigan Ave
Jackson, MN 49201-2218

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704317496MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Interventional Pain Center,PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

24430 Ford Rd
Ste A
Dearborn Heights, MI 48127
Phone (313) 274-1292

11650 Belleville Rd
Ste 105
Van Buren Township, MI 48111
Phone (734) 325-6282

Organizations & group practices 1

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": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1831076926",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "42 SANDY LAKE DRIVE",
            "city": "LEAMINGTON",
            "state": "ON",
            "postal_code": "N8H 5K4"
        },
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "42 SANDY LAKE DRIVE",
            "city": "LEAMINGTON",
            "state": "ON",
            "postal_code": "N8H 5K4",
            "telephone_number": "226-345-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADCHITI",
        "first_name": "REBEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704317496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.