Rebecca Lee Ross, RN, PHD, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

089003200N6 Issued in OR

Practice address

615 Piikoi St Ste 2002
Honolulu, HI 96814-3142

Phone

(808) 491-5533

Fax

(888) 391-1445

NPI assigned

Jul 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI, OR2 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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harney District HospitalGroup PAC ID 6800877424, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harney District Hospital Hospital, Burns, OR, CCN 381307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy, Registered Nurse

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.

• Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
  • NPI 1285742338
  Medicare reassignment Care Compare group NPD
• Positive Perspective LLC (D/B/a)

  • Psychiatric/Mental Health Nurse Practitioner
  • Ewa Beach, HI
  • NPI 1336894278
  NPD (past) Authorized official
• Harney District Hospital

  • Rural Health Clinic/Center
  • Burns, OR
  • NPI 1013276195
  NPD
• Harney District Hospital

  • Multi-Specialty Clinic/Center
  • Burns, OR
  • NPI 1972113306
  NPD

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

• Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
  • NPI 1285742338
  Care Compare affiliation
• Harney District Hospital

  • Multi-Specialty Clinic/Center
  • Burns, OR
  • NPI 1972113306

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922208685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 2002",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143142",
            "telephone_number": "808-491-5533",
            "fax_number": "888-391-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 2002",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143142",
            "telephone_number": "808-491-5533",
            "fax_number": "888-391-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "RN, PHD, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4299",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-1816",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "089003200N6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105724",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735373",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ross-King, M.D.
• Elizabeth Ann Ross, M.D.
• George Webster Ross III, M.D.
• Leslie Ross, MFT
• Linda C Ross, PSYD
• Tiana Ross
• Micaela Rossi-Brasher
• Bridgett Rossi
• Peter W. Rossi, MD
• Michael Kalani Rosskopf

• Psychiatric/Mental Health Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.