Rebecca Mortimer, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11001342 Issued in FL

Practice address

5174 Monza CT
Ave Maria, FL 34142-5095

Phone

(786) 443-8747

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Primary Care Solutions & More LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Stuart, FL
  • NPI 1659037562
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1841835550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 MONZA CT",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425095",
            "telephone_number": "786-443-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5174 MONZA CT",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425095",
            "telephone_number": "786-443-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Lee Mendez, M.A., ATC, LAT
• Yvonette Merat
• Mid State Mental Health Assessment Inc
• Manuel Milanes
• Momentum Behavioral Health Corp
• Kenninthon Munoz, DDS
• Nicole Mercedes Murillo
• Anthony John Musingo, PA-C
• Erin Norton
• Geisy Nunez

• Family Nurse Practitioner in Ave Maria, FL
• Providers in Ave Maria, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.