REBEKIAH PEARSON (PA) – Surgical Physician Assistant, NPI 1366836207

REBEKIAH PEARSON (PA) is a healthcare provider. based in Ada, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 3094 (OK). The NPI Number for REBEKIAH PEARSON (PA) is 1366836207

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
REBEKIAH PEARSON (PA)
NPI
1366836207
Phone
(580) 436-3980
Address
1921 STONECIPHER DR
Enumeration Date
27 March 2015
Last Update Date
5 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5804363980
Graduation Year
2014 (12 years ago)
PAC ID
6709104060
Group Practice PAC ID
8426957523
Professional Enrollment ID
I20191009002109
Address ID
OK748203439AD1921XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for REBEKIAH PEARSON (PA)

  • 1921 STONECIPHER DR

    ADA, OK 748203439

    Phone: (580) 436-3980

    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: 2019-10-09

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
I20191009002109IPhysician AssistantTXTBD

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
20610Aspiration and/or injection of fluid from large joint9743$0
99213Established patient office or other outpatient visit, 20-29 minutes9065$0
99214Established patient office or other outpatient visit, 30-39 minutes8777$0
View full utilization report →

Insurance plans in this area (ZIP 74820)

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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: 8426957523View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm REBEKIAH PEARSON (PA)'s NPI?
Yes. REBEKIAH PEARSON (PA) is listed with NPI 1366836207 in the public NPI dataset.
Is REBEKIAH PEARSON (PA) listed as active for patients and plans?
The listing shows REBEKIAH PEARSON (PA) as active in the NPI system.
What is REBEKIAH PEARSON (PA)'s specialty?
The listing groups REBEKIAH PEARSON (PA) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is REBEKIAH PEARSON (PA) based?
REBEKIAH PEARSON (PA) is tied to Ada, Oklahoma in the data we show; additional addresses may exist on the full record.
Is the information about REBEKIAH PEARSON (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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