MS. REBEKAH G FAYETTE (CNM, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043690175

MS. REBEKAH G FAYETTE (CNM, PMHNP) is a healthcare provider. based in Meridian, Idaho. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials CNM, PMHNP. They hold a License No. 54388 (ID). The NPI Number for MS. REBEKAH G FAYETTE (CNM, PMHNP) is 1043690175

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. REBEKAH G FAYETTE (CNM, PMHNP)
NPI
1043690175
Phone
(208) 302-1200
Address
3340 E GOLDSTONE WAY
Enumeration Date
3 June 2015
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
6406162841
Group Practice PAC ID
3476462359
Professional Enrollment ID
I20161215002288
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MS. REBEKAH G FAYETTE (CNM, PMHNP)

  • 3340 E GOLDSTONE WAY

    MERIDIAN, ID 836421026

    Phone: (208) 302-1200

    Fax: (208) 302-1255

    Type: Mailing

  • 1072 N LIBERTY

    SUITE 100

    BOISE, ID 837048708

    Phone: (208) 302-1200

    Fax: (208) 302-1255

    Type: Location

  • 1055 N Curtis Rd

    Boise, ID 837061309

    Phone: (208) 367-2121

    Type: Location

  • 10280 W USTICK RD

    BOISE, ID 837045270

    Phone: (208) 780-9295

    Type: Mailing

  • 4477 W EMERALD ST STE C200

    BOISE, ID 837062074

    Phone: (208) 780-9295

    Fax: (855) 490-9559

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $633.

Total Amount is formed as General ($633) + Research ($0) + Ownership ($0) = $633.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($220).

Total Amount

$633

General + Research + Ownership

Payments

59

Total payment records

General Amount

$633

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161215002288ICertified Nurse Midwife (Cnm)IDTBD

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.

Verify on CMS Revalidation Lookup Tool

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 83642)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476462359View full group profile

Reviews

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Frequently asked questions

What identifier follows MS. REBEKAH G FAYETTE (CNM, PMHNP) across health systems?
The NPI 1043690175 uniquely identifies MS. REBEKAH G FAYETTE (CNM, PMHNP) in U.S. healthcare data.
Is MS. REBEKAH G FAYETTE (CNM, PMHNP) currently accepting referrals based on NPI status?
Registry metadata lists MS. REBEKAH G FAYETTE (CNM, PMHNP) as active.
What services align with MS. REBEKAH G FAYETTE (CNM, PMHNP)'s listing?
MS. REBEKAH G FAYETTE (CNM, PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MS. REBEKAH G FAYETTE (CNM, PMHNP) in Meridian, Idaho?
For routing, start with Meridian, Idaho for MS. REBEKAH G FAYETTE (CNM, PMHNP), then verify phone and hours locally.
Who maintains MS. REBEKAH G FAYETTE (CNM, PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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