REBECCA SHARPE-WHITAKER (N.P.) – Family Nurse Practitioner, NPI 1205254810

REBECCA SHARPE-WHITAKER (N.P.) is a healthcare provider. based in Quincy, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 209011360 (IL). The NPI Number for REBECCA SHARPE-WHITAKER (N.P.) is 1205254810

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA SHARPE-WHITAKER (N.P.)
NPI
1205254810
Phone
(217) 224-9484
Address
612 N 11TH ST
Enumeration Date
1 April 2014
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172249484
Graduation Year
2012 (14 years ago)
PAC ID
7810110400
Group Practice PAC ID
4486667888
Professional Enrollment ID
I20140529001435
Address ID
IL623012662QU612XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for REBECCA SHARPE-WHITAKER (N.P.)

  • 612 N 11TH ST

    QUINCY, IL 623012662

    Phone: (217) 224-9484

    Fax: (217) 224-7950

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-05-29

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
I20140529001435INurse PractitionerILTBD

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 62301)

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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: 4486667888View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Physician AssistantIL
Family PracticeIL
Registered Dietitian Or Nutrition ProfessionalIL
Clinical Social WorkerIL
Nurse PractitionerIL
Mental Health CounselorIL
-IL
Internal MedicineOK
Family PracticeIL

Reviews

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Frequently asked questions

What is REBECCA SHARPE-WHITAKER (N.P.)'s NPI number?
REBECCA SHARPE-WHITAKER (N.P.)'s NPI is 1205254810 — the number used across U.S. healthcare to identify this provider.
Is there an active status for REBECCA SHARPE-WHITAKER (N.P.)?
For scheduling context, REBECCA SHARPE-WHITAKER (N.P.) is shown as active in the registry.
What kind of doctor is REBECCA SHARPE-WHITAKER (N.P.)?
REBECCA SHARPE-WHITAKER (N.P.) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is REBECCA SHARPE-WHITAKER (N.P.) associated with Quincy?
Public fields place REBECCA SHARPE-WHITAKER (N.P.) around Quincy, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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