Individual provider Active NPI

Rebekah Haywood, FNP-C

  • Family Nurse Practitioner
  • Westernport, MD
National Provider Identifier
1942672704
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R219448 Issued in MD
Practice address
90 Main St
Westernport, MD 21562-1437
Phone
(301) 359-5145
Fax
(301) 359-5178
NPI assigned
Oct 20, 2015
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN84484-NP-C WV
Family Nurse Practitioner 363LF0000X R219448 MD Primary

Addresses

Primary practice location

90 Main St
Westernport, MD 21562-1437

Mailing address

51 Main St
Ste 4
Westernport, MD 21562-1400
Phone (717) 635-0595

Other practice location 1

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457
Phone (301) 689-3229

Other practice location 2

1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331
Phone (240) 964-9300

Other practice location 3

45 Hunt Club Dr
Ridgeley, WV 26753-7567
Phone (304) 726-4501

Other practice location 4

23789 Garrett Hwy
Mc Henry, MD 21541-1338
Phone (240) 488-4139

Other names 1

  • Rebekah Reyes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 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

Enrollment IDStateProvider typePAC IDDetails
I20160204000386 MD Practitioner - Nurse Practitioner 3072813492 Reassigns benefits to 1 organization
I20170314001250 WV Practitioner - Nurse Practitioner 3072813492 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, shared by 6 NPIs, 90 clinicians

Practice addresses (Care Compare)

100 Pin Oak LN
Keyser, WV 26726-5908

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R219448MDMDFamily Nurse Practitioner
APRN84484-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Corporation Current Accepting new patients
Potomac Valley Hospital of W VA , Inc Family CurrentSince Feb 15, 2022 Accepting new patients
Valeo Medical, PLLC CurrentSince Dec 18, 2016 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Feb 15, 2022 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Apr 27, 2017 Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients
Potomac Valley Hospital of W VA, Inc Past Accepting new patients

Locations

1050 W Industrial Blvd
Ste 17
Cumberland, MD 21502
Phone (240) 964-9300

10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

23789 Garrett Hwy
Mc Henry, MD 21541
Phone (240) 488-4139

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

260 Russell Ave
North Martinsvlle, WV 26155
Phone (304) 398-4949

32 2nd St
Piedmont, WV 26750
Phone (304) 355-2323

45 Hunt Club Dr
Ridgeley, WV 26753
Phone (304) 726-4501

1100 9th St
Ste E
Vienna, WV 26105

Interoperability endpoints

  • Direct secure messaging: reyes.rebekah.003.0380007@pmy.meditab.direct-ci.com
  • Direct secure messaging: rreyes12851@direct.wvuhsdirect.com

Organizations & group practices 9

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 1

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": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1942672704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MAIN ST",
            "address_2": "STE 4",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215621400",
            "telephone_number": "717-635-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215621437",
            "telephone_number": "301-359-5145",
            "fax_number": "301-359-5178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10701 New Georges Creek Rd SW",
            "address_purpose": "LOCATION",
            "city": "Frostburg",
            "state": "MD",
            "postal_code": "215321457",
            "country_code": "US",
            "telephone_number": "301-689-3229",
            "fax_number": "301-689-1129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Industrial Blvd Ste 17",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024331",
            "country_code": "US",
            "telephone_number": "240-964-9300",
            "fax_number": "240-964-9310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Hunt Club Dr",
            "address_purpose": "LOCATION",
            "city": "Ridgeley",
            "state": "WV",
            "postal_code": "267537567",
            "country_code": "US",
            "telephone_number": "304-726-4501",
            "fax_number": "304-726-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23789 Garrett Hwy",
            "address_purpose": "LOCATION",
            "city": "Mc Henry",
            "state": "MD",
            "postal_code": "215411338",
            "country_code": "US",
            "telephone_number": "240-488-4139",
            "fax_number": "240-488-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "REBEKAH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN84484-NP-C",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R219448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "REYES",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westernport, MD

Sources for this page

Verify at the official NPI Registry.