REBECCA RIDEOUT – Physician Assistant, NPI 1073993440

REBECCA RIDEOUT is a healthcare provider. based in Lowell, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA6433 (MA). The NPI Number for REBECCA RIDEOUT is 1073993440

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA RIDEOUT
NPI
1073993440
Phone
(978) 937-6000
Address
295 VARNUM AVE
Enumeration Date
1 June 2015
Last Update Date
27 November 2019

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9783232850
Graduation Year
2015 (11 years ago)
PAC ID
2668789371
Group Practice PAC ID
4486976792
Professional Enrollment ID
I20181219001217
Address ID
MA018622328NO199XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for REBECCA RIDEOUT

  • 295 VARNUM AVE

    LOWELL, MA 018542134

    Phone: (978) 937-6000

    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: 2018-12-19

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
I20181219001217IPhysician AssistantMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making3333$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2317$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 01854)

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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: 4486976792View full group profile
NameSpecialtyState
Physician AssistantNH
Family PracticeOK
Family PracticeMA
-MA
Family PracticeFL
Nurse PractitionerMA
Emergency MedicineMA
Physician AssistantNH
-MA
Emergency Medicine, Internal MedicineMA

Reviews

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Frequently asked questions

What is the standard ID for REBECCA RIDEOUT in the U.S.?
In the U.S., REBECCA RIDEOUT is identified by NPI 1073993440.
Is REBECCA RIDEOUT's NPI status active today?
Active status means REBECCA RIDEOUT's NPI record is not deactivated in the public file.
What services align with REBECCA RIDEOUT's listing?
REBECCA RIDEOUT's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to REBECCA RIDEOUT?
REBECCA RIDEOUT shows a connection to Lowell, Massachusetts in registry-derived data.
Who maintains REBECCA RIDEOUT's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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