MS. REBEKAH G FAYETTE (CNM, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043690175
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $220 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $149 |
| Neurocrine BioSciences Inc. | $138 |
| Corium, LLC | $37 |
| ITI, Inc. | $24 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161215002288 | I | Certified Nurse Midwife (Cnm) | ID | 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 83642)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | ID | |
| Orthopedic Surgery | ID | |
| - | ID | |
| - | UT | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | ID |
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