Individual provider Active NPI

Rebecca Ann McAllister, DNP, RN, FNP-BC,APNP

  • Family Nurse Practitioner
  • Greenfield, WI
National Provider Identifier
1932307311
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5636-33 Issued in WI
Practice address
4600 W Loomis Rd Ste 200
Greenfield, WI 53220-4858
Phone
(414) 939-8779
Fax
(855) 428-0626
NPI assigned
Jul 6, 2007
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5636-33 WI Primary
Family Nurse Practitioner 363LF0000X SP009911 PA
Family Nurse Practitioner 363LF0000X 101-0031988 VT
Family Nurse Practitioner 363LF0000X 209004120 IL

Addresses

Primary practice location

4600 W Loomis Rd Ste 200
Greenfield, WI 53220-4858

Mailing address

400 E Main St
Palmyra, WI 53156-9312
Phone (262) 320-7820

Other practice location 1

125 W Main St
Palmyra, WI 53156
Phone (262) 320-7820

Other practice location 2

1400 E Wisconsin St
CareATC Andes Clinic
Delavan, WI 53115
Phone (262) 725-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
209004120ILMDFamily Nurse Practitioner
SP009911PAMDFamily Nurse Practitioner
101-0031988VTMDFamily Nurse Practitioner
5636-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Wellness Clinic, LLC Family CurrentSince Oct 9, 2022 Accepting new patients
Careatc - Andes Candies Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1932307311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "PALMYRA",
            "state": "WI",
            "postal_code": "531569312",
            "telephone_number": "262-320-7820",
            "fax_number": "262-217-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W LOOMIS RD STE 200",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204858",
            "telephone_number": "414-939-8779",
            "fax_number": "855-428-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 W Main St",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "WI",
            "postal_code": "53156",
            "country_code": "US",
            "telephone_number": "262-320-7820",
            "fax_number": "262-217-9399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Wisconsin St",
            "address_2": "CareATC Andes Clinic",
            "address_purpose": "LOCATION",
            "city": "Delavan",
            "state": "WI",
            "postal_code": "53115",
            "country_code": "US",
            "telephone_number": "262-725-1566",
            "fax_number": "855-346-7414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, FNP-BC,APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5636-33",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101-0031988",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209004120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.