Rebecca L White, PMHNP, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

19355.0277 Issued in WY

Practice address

690 S Hwy 89 Ste 201
Jackson, WY 83001-8508

Phone

(307) 690-4521

Fax

(949) 695-2562

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY, HI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kau Hospital Hospital, Pahala, HI, CCN 121301

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwhite1182156@wm.providencedirect.org

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.

• Kau Hospital

  • Rural Health Clinic/Center
  • Pahala, HI
  • NPI 1144304338
  Medicare reassignment Care Compare group NPD
• Kau Hospital

  dba East Hawaii Health Clinic at Puna Kai

  • Rural Health Clinic/Center
  • Pahoa, HI
  • NPI 1285450163
  NPD
• Kau Hospital

  • Critical Access Hospital
  • Pahala, HI
  • NPI 1982276127
  NPD
• Jackson Pediatric Associates, LLC

  dba Jackson Pediatrics

  • Pediatrics Physician
  • Jackson, WY
  • NPI 1912335530
  NPD (past)
• Pegasus Emergency Group Wyoming LLC

  • Emergency Medicine Physician
  • Rock Springs, WY
  • NPI 1124328927
  NPD (past)
• Northwest Physician Associates PC

  • Physician Assistant
  • Arlington, WA
  • NPI 1275567919

  Nurse Practitioner

  NPD (past)
• Quantum Plus LLC

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1235188962

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kau Hospital

  • Critical Access Hospital
  • Pahala, HI
  • NPI 1558441311
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1902903321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "TETON VILLAGE",
            "state": "WY",
            "postal_code": "830250722",
            "telephone_number": "307-690-4521",
            "fax_number": "949-695-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S HWY 89 STE 201",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018508",
            "telephone_number": "307-690-4521",
            "fax_number": "949-695-2562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7140 N Rachel Way # A4",
            "address_purpose": "LOCATION",
            "city": "Teton Village",
            "state": "WY",
            "postal_code": "830018037",
            "country_code": "US",
            "telephone_number": "307-690-4521",
            "fax_number": "949-695-2562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 S Willow St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018337",
            "country_code": "US",
            "telephone_number": "307-690-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "100917",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-629A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NP-100917",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-5072",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "19355.0277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807242401",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123446300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nils Charles Westfall, M.D.
• Meliza Wetzler, MA
• Albert R Wheeler III, MD
• Keri A Wheeler, MD
• Mary Kathryn White, FNP
• Landon Wiedenman, M.T.
• Chante Wiegand, N.D.
• Eric Andrew Wieman, MD
• Kate Wienman, M.A., CCC-SLP
• Rachel Wigglesworth, CD(DONA)

• Nurse Practitioner in Jackson, WY
• Providers in Jackson, WY by specialty
• Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.