Rebecca Joan Hall, FNP-BC, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9375314 Issued in FL

Practice address

12601 Sorrento Rd
Suite B
Pensacola, FL 32507-8762

Phone

(850) 437-5686

NPI assigned

Nov 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rebecca Joan Bertsch Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Baptist Medical Group LLC

  • Hematology & Oncology Physician
  • Pensacola, FL
  • NPI 1376779892
  Medicare reassignment

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1962485474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8879 FOXTAIL LOOP",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SORRENTO RD",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078762",
            "telephone_number": "850-437-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "REBECCA",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9375314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010535800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43901200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BERTSCH",
            "middle_name": "JOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Brad Hall, PT, DPT
• Jason Durwood Hall, D.C.
• Lucas Prather Hall, LCSW
• Monica Hall, DNP
• Nicole Leann Hall, PT, DPT, CCI
• Sabrina Hall, RBT
• Samantha Hall
• Tyreka Denise Hall
• Kathleen Renee Haller, MHR; CAPP
• Maria Renee Hallford, CNM

• Family Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.