Individual provider Active NPI

Rebecca May Mockelman, RN

  • School Registered Nurse
  • Council Bluffs, IA
National Provider Identifier
1891511630
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
IA154527 Issued in IA
Practice address
3501 Harry Langdon Blvd
Council Bluffs, IA 51503-8644
Phone
(712) 366-3252
Fax
(712) 366-3225
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X IA154527 IA Primary

Addresses

Primary practice location

3501 Harry Langdon Blvd
Council Bluffs, IA 51503-8644

Mailing address

3501 Harry Langdon Blvd
Council Bluffs, IA 51503-8644
Phone (712) 366-3252

Other names 1

  • Rebecca May Kilpatrick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
IA154527IAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa School for the Deaf PastSince Dec 1, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1891511630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 HARRY LANGDON BLVD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515038644",
            "telephone_number": "712-366-3252",
            "fax_number": "712-366-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HARRY LANGDON BLVD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515038644",
            "telephone_number": "712-366-3252",
            "fax_number": "712-366-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCKELMAN",
        "first_name": "REBECCA",
        "middle_name": "MAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IA",
            "license": "IA154527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KILPATRICK",
            "middle_name": "MAY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.