Individual provider Active NPI

Rebecca Rae Becker, FNP-BC

  • Primary Care Nurse Practitioner
  • Saint Ignace, MI
National Provider Identifier
1992956817
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704222595 Issued in MI
Practice address
1140 N State St
Saint Ignace, MI 49781-1048
Phone
(906) 643-0407
Fax
(906) 643-6188
NPI assigned
Oct 9, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704222595 MI Primary

Addresses

Primary practice location

1140 N State St
Saint Ignace, MI 49781-1048

Mailing address

1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-0407

Other practice location 1

220 Burdette St
Saint Ignace, MI 49781-1712
Phone (231) 818-0430

Other practice location 2

220 Burdette St
Saint Ignace, MI 49781-1712
Phone (231) 818-0430

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
I20130226000385 MI Practitioner - Nurse Practitioner 0143475046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mackinac Straits Health System IncGroup PAC ID 1456420876, shared by 7 NPIs, 19 clinicians

Practice addresses (Care Compare)

1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-8585

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mackinac Straits Health System Inc Current Accepting new patients
Mackinac Straits Health System Inc CurrentSince Jan 12, 2013 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Jan 12, 2013 Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients
Mackinac Straits Hospital Authority Past Accepting new patients

Locations

14540 N Mackinaw Hwy
Mackinaw City, MI 49701
Phone (231) 436-9900

420 S Nicolet St
Mackinaw City, MI 49701
Phone (231) 436-9900

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

Interoperability endpoints

  • Direct secure messaging: rbecker128126@mymichiganhealth.midirect.net
  • Direct secure messaging: rebeccabecker@mshs.allscriptsdirect.net

Organizations & group practices 5

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 3

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992956817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-0407",
            "fax_number": "906-643-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-0407",
            "fax_number": "906-643-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Burdette St",
            "address_purpose": "LOCATION",
            "city": "Saint Ignace",
            "state": "MI",
            "postal_code": "497811712",
            "country_code": "US",
            "telephone_number": "231-818-0430",
            "fax_number": "906-643-6188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Burdette St",
            "address_purpose": "LOCATION",
            "city": "Saint Ignace",
            "state": "MI",
            "postal_code": "497811712",
            "country_code": "US",
            "telephone_number": "231-818-0430",
            "fax_number": "906-643-6188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "REBECCA",
        "middle_name": "RAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704222595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Ignace, MI

Sources for this page

Verify at the official NPI Registry.