NPIMap

Individual provider Active NPI

Rebecca S. Davisson, M.D.

  • Family Medicine Physician
  • New Castle, IN
National Provider Identifier
1922180884
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01055276A Issued in IN
Practice address
2200 Forest Ridge Pkwy
Suite 310
New Castle, IN 47362-2943
Phone
(765) 599-3400
Fax
(765) 599-3500
NPI assigned
Oct 20, 2006
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01055276A IN Primary

Addresses

Primary practice location

2200 Forest Ridge Pkwy
Suite 310
New Castle, IN 47362-2943

Mailing address

PO Box 652
New Castle, IN 47362-0652
Phone (765) 599-3400

Other identifiers 1

IdentifierTypeStateIssuer
200428220MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address davissonr@hcmh.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000484 IN Practitioner - Family Practice 6608990619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Practice addresses (Care Compare)

2200 Forest Ridge Pkwy
New Castle, IN 47362-2943
Phone (765) 599-3400

PO Box
Suite 485
New Castle, IN 47362

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital Family Medicine CurrentSince Sep 1, 2003 Accepting new patients
Henry County Memorial Hospital Family Medicine Current Accepting new patients
Henry County Memorial Hospital CurrentSince Sep 1, 2003 Accepting new patients
Major Hospital Past Accepting new patients
Heritage House of Richmond Past Accepting new patients

Locations

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

2200 Forest Ridge Pkwy
#310
New Castle, IN 47362
Phone (765) 599-3400

2200 Forest Ridge Pkwy
Ste 310
New Castle, IN 47362
Phone (765) 599-3400

Interoperability endpoints

  • Direct secure messaging: davissonr@hcmh.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1922180884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620652",
            "telephone_number": "765-599-3400",
            "fax_number": "765-599-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOREST RIDGE PKWY",
            "address_2": "SUITE 310",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622943",
            "telephone_number": "765-599-3400",
            "fax_number": "765-599-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISSON",
        "first_name": "REBECCA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01055276A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200428220",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davissonr@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2200 Forest Ridge Pkwy",
            "address_2": "Suite 310",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473622943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.