Individual provider Active NPI

Rebecca Jean Gleason, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1972936938
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704300683 Issued in MI
Practice address
1040 W Bristol Rd
Flint, MI 48507-5516
Phone
(810) 257-3724
Fax
(810) 257-3731
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704300683 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704300683 MI Primary

Addresses

Primary practice location

1040 W Bristol Rd
Flint, MI 48507-5516

Mailing address

1040 W Bristol Rd
Flint, MI 48507-5516
Phone (810) 257-3724

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgleason102385@direct.hurleymc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220926001120 MI Practitioner - Nurse Practitioner 0547646754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, shared by 10 NPIs, 336 clinicians
Genesee Health SystemGroup PAC ID 6002051091, 36 clinicians

Practice addresses (Care Compare)

1 Hurley Plaza Ground N Clinic
Hurley Nurse Practitioner Group
Flint, MI 48503-5902
Phone (810) 262-9191

1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-7333

420 W 5TH Ave
Flint, MI 48503-2445
Phone (810) 257-3736

Hospital & facility affiliations

  • Hurley Medical Center Hospital, Flint, MI, CCN 230132

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Health System Nurse Practitioner CurrentSince Jun 15, 2022 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Hurley Medical Center Nurse Practitioner Current Accepting new patients
Hurley Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Genesee Health System CurrentSince Jun 15, 2022 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Hurley Medical Center Current Accepting new patients

Locations

1 Hurley Plz
Ste 3B
Flint, MI 48503

1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100

420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724

1402 S Saginaw St
Flint, MI 48503
Phone (810) 496-4955

1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Hurley Plz
Ste 3D
Flint, MI 48503

1 Hurley Plz
#3D
Flint, MI 48503
Phone (810) 262-6046

422 W 4th Ave
Flint, MI 48503
Phone (810) 496-5500

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 and National Provider Directory roles.

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1972936938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075516",
            "telephone_number": "810-257-3724",
            "fax_number": "810-257-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075516",
            "telephone_number": "810-257-3724",
            "fax_number": "810-257-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704300683",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704300683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgleason102385@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1 Hurley Plz # 3D",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485035902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.