Rebecca Jo Nielsen, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704322661 Issued in MI

Practice address

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602

Phone

(616) 272-3533

Fax

(616) 259-4839

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rnielsen@wingsofhopehospice.com

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.

• Careconnectmd Michigan PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Dearborn, MI
  • NPI 1477288348
  Medicare reassignment NPD
• Careline Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Jackson, MI
  • NPI 1801367073
  Medicare reassignment NPD
• Northview Health Specialists, PLLC

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1629558978
  Medicare reassignment NPD
• Northview Medical House Calls PLC

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1336447002
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Careline Hmi300 LLC

  • Community Based Hospice Care Agency
  • Grand Rapids, MI
  • NPI 1770257818
  NPD
• Vpa PC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Wings of Hope Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Allegan, MI
  • NPI 1609871425
  NPD (past)
• Premier Heart Associates, Inc

  • Cardiovascular Disease Physician
  • Beavercreek, OH
  • NPI 1538188735
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1912515586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008",
            "fax_number": "517-212-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468602",
            "telephone_number": "616-272-3533",
            "fax_number": "616-259-4839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Burr Ridge Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605270864",
            "country_code": "US",
            "telephone_number": "248-824-6600",
            "fax_number": "855-618-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "REBECCA",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704322661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rnielsen@wingsofhopehospice.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "530 Linn St",
            "city": "Allegan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490101562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandrea Nielsen, LLMSW
• Amy D Nielsen, PA
• Elizabeth Maitner Nielsen, LMSW
• Michele A Nielsen, MA, LLP, LLPC
• Nancy Norma Nielsen I
• Kristine Marie Niemeyer, MSN, NP
• Marissa Claire Niemeyer, MSN, AGPCNP-C
• Amanda Lynn Nienhaus, PA
• Megan Elizabeth Niergarth, PA-C
• Stacey Niesen

• Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.