Rebekah Hope Rubesich, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0027689 Issued in OH

Practice address

594 Newark Granville Rd
Granville, OH 43023-1436

Phone

(740) 618-2322

Fax

(740) 618-2324

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shelton Behavioral HealthGroup PAC ID 8123445277, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified 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.

• Shelton Behavioral Health

  • Clinical Psychologist
  • Warren, OH
  • NPI 1487264289
  Medicare reassignment Care Compare group NPD
• Alpha Medical Services, LLC

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1194785857
  NPD
• Village Network

  dba The Village Network

  • Voluntary or Charitable Agency
  • Wooster, OH
  • NPI 1124057914
  NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1851948863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231436",
            "telephone_number": "740-815-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231436",
            "telephone_number": "740-618-2322",
            "fax_number": "740-618-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBESICH",
        "first_name": "REBEKAH",
        "middle_name": "HOPE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "352789",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0027689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@rprdm.org",
            "affiliation": "N",
            "endpointDescription": "Secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "118 Stover Dr",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430158601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@hyggebhw.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "594 Newark Granville Rd",
            "city": "Granville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430231436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke Anne Randall, D.P.T.
• Rea Medical, LLC
• Stacey Ripple, APRN
• Rebekah Robison, LMT
• Rona Rosen, LISW
• David Jay Sand, MD
• Heidi Danielle Saunders, LMT
• Elton Devin Savage, DMD
• Patrick Joseph Scarpitti, MD
• Timothy Schirf, OT/L

• Psychiatric/Mental Health Nurse Practitioner in Granville, OH
• Providers in Granville, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.