REBECCA L MCCOLLAUM (A.P.R.N.) – Family Nurse Practitioner, NPI 1669658969
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for REBECCA L MCCOLLAUM (A.P.R.N.)
East Camelback Road, Phoenix, Maricopa County, Arizona, 85018, United States
PHOENIX, AZ 850164418
Phone: (602) 264-9100
Fax: (602) 264-9101
Type: Mailing
21321 E Ocotillo Rd Ste 114
Queen Creek, AZ 851425994
Phone: (480) 461-1088
Fax: (480) 461-1657
Type: Location
1520 S Dobson Rd
Suite 302
Mesa, AZ 852024725
Phone: (480) 461-1088
Fax: (480) 461-1657
Type: Location
West Baseline Road, Waterford Place Apartments, Mesa, Maricopa County, Arizona, 85210, United States
MESA, AZ 852106047
Phone: (480) 461-1088
Fax: (480) 461-1657
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 439 Open Payments records for all available years, with a total value of $82,133.
Total Amount is formed as General ($82,133) + Research ($0) + Ownership ($0) = $82,133.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Lilly USA, LLC ($25,380).
Total Amount
$82,133
General + Research + Ownership
Payments
439
Total payment records
General Amount
$82,133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $25,380 |
| ABBVIE INC. | $23,962 |
| Janssen Biotech, Inc. | $17,793 |
| Phathom Pharmaceuticals, Inc. | $8,171 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $1,500 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111027000354 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85016)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | AZ | |
| U R O L O G Y | AZ | |
| - | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| - | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | TN | |
| G A S T R O E N T E R O L O G Y | AZ | |
| G A S T R O E N T E R O L O G Y | WA | |
| G A S T R O E N T E R O L O G Y | AZ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.