Individual provider Active NPI

Rebecca Pence, FNP, MSN, ADN

  • Family Nurse Practitioner
  • Marshall, MO
National Provider Identifier
1972026151
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017025489 Issued in MO
Practice address
2305 S Highway 65
Marshall, MO 65340-3702
Phone
(660) 886-7431
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017025489 MO Primary

Addresses

Primary practice location

2305 S Highway 65
Marshall, MO 65340-3702

Mailing address

1208 N Glenview Ave
Independence, MO 64056-4430
Phone (816) 853-7144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 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
I20170825001727 MO Practitioner - Nurse Practitioner 6901178979 Reassigns benefits to 2 organizations
I20211129000749 FL Practitioner - Nurse Practitioner 6901178979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Florida Emergency Physicians, LLCGroup PAC ID 8426213596, 11 clinicians
Emergency Physicians of Central Florida LLPGroup PAC ID 1850296567, 132 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (772) 589-3187

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 351-8500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Aug 3, 2017 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. CurrentSince Aug 3, 2017 Accepting new patients
Emergency Physicians of Central Florida LLP CurrentSince Aug 1, 2025 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
Mid-Florida Emergency Physicians, LLC CurrentSince Oct 1, 2024 Accepting new patients
Emergency Medicine Services of Mo, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

200 Corporate Blvd
Lafayette, LA 70508

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000

6675 Holmes Rd
Kansas City, MO 64131
Phone (816) 276-7000

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1972026151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 N GLENVIEW AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640564430",
            "telephone_number": "816-853-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S HIGHWAY 65",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-886-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "REBECCA",
        "credential": "FNP, MSN, ADN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017025489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

Verify at the official NPI Registry.