REBECCA MARIE ANDERSON (FNP) – Family Nurse Practitioner, NPI 1730686114

REBECCA MARIE ANDERSON (FNP) is a healthcare provider. based in Winamac, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 71007907A (IN). The NPI Number for REBECCA MARIE ANDERSON (FNP) is 1730686114

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA MARIE ANDERSON (FNP)
NPI
1730686114
Phone
(574) 946-2100
Address
PO BOX 279
Enumeration Date
11 April 2018
Last Update Date
4 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5749462100
Graduation Year
2018 (8 years ago)
PAC ID
0446514574
Group Practice PAC ID
3173515509
Professional Enrollment ID
I20180426000087
Address ID
IN469961117WI616XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for REBECCA MARIE ANDERSON (FNP)

  • PO BOX 279

    WINAMAC, IN 469960279

    Phone: (574) 946-2100

    Type: Mailing

  • 540 HOSPITAL DR

    WINAMAC, IN 469961173

    Phone: (574) 946-2194

    Type: Location

  • Pulaski Memorial Hospital, 616, East 13th Street, Winamac, Pulaski County, Indiana, 46996, United States

    WINAMAC, IN 469961117

    Phone: (574) 946-2100

    Type: Location

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: 2018-04-26

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
I20180426000087INurse PractitionerINTBD

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 46996)

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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: 3173515509View full group profile
NameSpecialtyState
Family Practice, Obstetrics/GynecologyIN
Clinical Social WorkerIN
O P H T H A L M O L O G YIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Emergency Medicine, General SurgeryMI
Nurse PractitionerIN
Clinical Social WorkerIN
-IN

Reviews

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Frequently asked questions

Can I use this page to confirm REBECCA MARIE ANDERSON (FNP)'s NPI?
Yes. REBECCA MARIE ANDERSON (FNP) is listed with NPI 1730686114 in the public NPI dataset.
Does CMS list REBECCA MARIE ANDERSON (FNP) as active?
Yes — REBECCA MARIE ANDERSON (FNP) is active in the NPI listing used on this page.
What healthcare role does REBECCA MARIE ANDERSON (FNP) hold?
Scheduling teams often label REBECCA MARIE ANDERSON (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for REBECCA MARIE ANDERSON (FNP)?
REBECCA MARIE ANDERSON (FNP)'s geographic hint is Winamac, Indiana in our summary view.
Is the information about REBECCA MARIE ANDERSON (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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