Rebekah Michelle Hosman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9847199-1206 Issued in UT

Practice address

3650 N University Ave
#200
Provo, UT 84604-6656

Phone

(801) 375-7100

NPI assigned

Aug 2, 2016

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 names 1

• Ms. Rebekah Michelle Hallerman Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: rebekah.hosman.p1@direct.ppcacentralcoast.nextgenshare.com

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1982157301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E 400 S APT 5",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846064675",
            "telephone_number": "805-637-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N UNIVERSITY AVE",
            "address_2": "#200",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046656",
            "telephone_number": "801-375-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSMAN",
        "first_name": "REBEKAH",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "9847199-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "HALLERMAN",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Jay Hortin
• Tasha Renee Hortin, APRN
• Morgan Kay Horton, APRN, FNP-C
• Erika Kate Horvey, M.S., CCC-SLP
• Scott Daly Hosford, PH.D.
• Pete Hosmer
• Kim Cranney Houle, APRN
• House of Hope
• House of Hope
• House of Hope

• Medical Physician Assistant in Provo, UT
• Providers in Provo, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.