Individual provider Active NPI

Rebecca McCoy, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartford, SD
National Provider Identifier
1962367011
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP003967 Issued in SD
Practice address
46260 266TH St
Hartford, SD 57033-6715
Phone
(702) 505-2126
NPI assigned
Dec 22, 2025
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP003967 SD Primary

Addresses

Primary practice location

46260 266TH St
Hartford, SD 57033-6715

Mailing address

2110 E Flamingo Rd Ste 309
Las Vegas, NV 89119-5193
Phone (725) 331-1100

Other practice location 1

101 S Reid St Ste 307
Sioux Falls, SD 57103-7045
Phone (855) 444-7258

Other practice location 2

2110 E Flamingo Rd Ste 309
Las Vegas, NV 89119-5193
Phone (725) 331-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NV2 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
I20260408001170 SD Practitioner - Nurse Practitioner 0244705101 Reassigns benefits to 1 organization
I20260410003563 NV Practitioner - Nurse Practitioner 0244705101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enlightenment LLCGroup PAC ID 0446797112, 8 clinicians
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

2110 E Flamingo Rd
Suite 100
Las Vegas, NV 89119-5191
Phone (725) 331-1100

46260 266TH St
Hartford, SD 57033-6715
Phone (201) 748-2806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
CP003967SDMDPsychiatric/Mental Health Nurse Practitioner

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": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1962367011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 309",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195193",
            "telephone_number": "725-331-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46260 266TH ST",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570336715",
            "telephone_number": "702-505-2126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Reid St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571037045",
            "country_code": "US",
            "telephone_number": "855-444-7258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 E Flamingo Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195193",
            "country_code": "US",
            "telephone_number": "725-331-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP003967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, SD

Sources for this page

Verify at the official NPI Registry.