Individual provider Active NPI

Rebecca Priebe, FNP

  • Family Nurse Practitioner
  • Middletown, RI
National Provider Identifier
1992351811
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN04428 Issued in RI
Practice address
102 Valley Rd
Middletown, RI 02842-5237
Phone
(401) 239-1800
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN04428 RI Primary
Family Nurse Practitioner 363LF0000X RN2297950 MA

Addresses

Primary practice location

102 Valley Rd
Middletown, RI 02842-5237

Mailing address

102 Valley Rd
Middletown, RI 02842-5237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, HI, RI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200205000716 MA Practitioner - Nurse Practitioner 5597191882 Reassigns benefits to 2 organizations
I20231221003742 HI Practitioner - Nurse Practitioner 5597191882 Reassigns benefits to 1 organization
I20250214000492 RI Practitioner - Nurse Practitioner 5597191882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Dermatology LLCGroup PAC ID 1759550643, 24 clinicians

Practice addresses (Care Compare)

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John F. Paopao, M.D., Inc. CurrentSince Oct 16, 2023 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Dec 15, 2019 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Dec 15, 2019 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Dec 15, 2019 Accepting new patients
Mahinakealo, LLC CurrentSince Oct 16, 2023 Accepting new patients
Aspire Dermatology LLC CurrentSince Jan 23, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Dec 15, 2019 Accepting new patients
Southcoast Physicians Group, Inc. PastSince Jan 23, 2025 Accepting new patients

Locations

670 Ponahawai St
Ste 224
Hilo, HI 96720
Phone (808) 300-1064

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

Interoperability endpoints

  • FHIR API: https://aspire.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1992351811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04428",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2297950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.