REBECCA WYATT (DO) – Physical Medicine & Rehabilitation Physician, NPI 1053573048

REBECCA WYATT (DO) is a healthcare provider. based in East lansing, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 5101017592 (MI). The NPI Number for REBECCA WYATT (DO) is 1053573048

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA WYATT (DO)
NPI
1053573048
Phone
(517) 884-2976
Address
804 SERVICE RD
Enumeration Date
30 June 2008
Last Update Date
16 June 2016

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8103422063
Graduation Year
2008 (18 years ago)
PAC ID
9436305117
Group Practice PAC ID
8628975497
Professional Enrollment ID
I20120813000290
Address ID
MI485323638FL401XXHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

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Provider Addresses for REBECCA WYATT (DO)

  • 804, Service Road, East Lansing, Ingham County, Michigan, 48824, United States

    A201

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • Michigan State University Federal Credit Union, 1200, East Michigan Avenue, Lansing, Lansing Charter Township, Ingham County, Michigan, 48912, United States

    STE 520

    LANSING, MI 489121837

    Phone: (517) 364-5260

    Fax: (517) 364-5251

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-02-14 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-14

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: 2012-08-13

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
I20120813000290IPhysical Medicine And RehabilitationMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes933137$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes17680$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10858$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9689$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5351$0
View full utilization report →

Insurance plans in this area (ZIP 48824)

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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: 8628975497View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Family PracticeMI
-MI
Nurse PractitionerMI
-MI
Family PracticeMI

Reviews

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Frequently asked questions

Is there an official ID for REBECCA WYATT (DO) in U.S. healthcare records?
The official identifier for REBECCA WYATT (DO) is NPI 1053573048.
Is REBECCA WYATT (DO) still an active registrant?
REBECCA WYATT (DO) carries an active NPI according to the public dataset.
What kind of doctor is REBECCA WYATT (DO)?
REBECCA WYATT (DO) is associated with Physical Medicine & Rehabilitation Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is REBECCA WYATT (DO) registered?
Use East Lansing, Michigan as the headline location for REBECCA WYATT (DO) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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