Individual provider Active NPI

Rebecca Donna Trebil, APRN, C-NP

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1992009583
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7282 Issued in MN
Practice address
401 Harding St NE # 100
Minneapolis, MN 55413-2801
Phone
(612) 398-7000
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 240878-30 WI
Registered Nurse 163W00000X R 174364-1 MN
Family Nurse Practitioner 363LF0000X 7282 MN Primary

Addresses

Primary practice location

401 Harding St NE # 100
Minneapolis, MN 55413-2801

Mailing address

N5717 770TH St
Ellsworth, WI 54011-4723
Phone (651) 246-4183

Other practice location 1

2080 Cleveland Ave N.
Rosevill, MN 55113
Phone (651) 642-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20230323001231 WI Practitioner - Nurse Practitioner 4284032251 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R 174364-1MNMDRegistered Nurse
240878-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Valley Shared Services, Inc. CurrentSince Dec 10, 2022 Accepting new patients
St. Croix Valley Shared Services, Inc. CurrentSince Dec 10, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1992009583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5717 770TH ST",
            "city": "ELLSWORTH",
            "state": "WI",
            "postal_code": "540114723",
            "telephone_number": "651-246-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HARDING ST NE # 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132801",
            "telephone_number": "612-398-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Cleveland Ave N.",
            "address_purpose": "LOCATION",
            "city": "Rosevill",
            "state": "MN",
            "postal_code": "55113",
            "country_code": "US",
            "telephone_number": "651-642-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREBIL",
        "first_name": "REBECCA",
        "middle_name": "DONNA",
        "credential": "APRN, C-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "240878-30",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 174364-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.