MS. REBECCA L WHITE (PMHNP, FNP) – Nurse Practitioner, NPI 1902903321
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
596 NURSE PRACTITIONER in WY
Provider Addresses for MS. REBECCA L WHITE (PMHNP, FNP)
690 S HWY 89 STE 201
JACKSON, WY 830018508
Phone: (307) 690-4521
Fax: (949) 695-2562
Type: Location
7140 N Rachel Way # A4
Teton Village, WY 830018037
Phone: (307) 690-4521
Fax: (949) 695-2562
Type: Location
175 S Willow St
Jackson, WY 830018337
Phone: (307) 690-4521
Type: Location
1315, Wyoming Street, Riverfront, Missoula, Missoula County, Montana, 59801, United States
MISSOULA, MT 598011725
Phone: (406) 532-9700
Fax: (406) 541-3035
Type: Location
PO BOX 722
TETON VILLAGE, WY 830250722
Phone: (307) 690-4521
Fax: (949) 695-2562
Type: Mailing
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 $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2023-05-25 • Largest payer in this snapshot: ITI, Inc. ($75).
Total Amount
$75
General + Research + Ownership
Payments
1
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $75 |
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: 2025-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240523002532 | I | Nurse Practitioner | WY | TBD |
| I20250428003560 | I | Nurse Practitioner | HI | TBD |
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.
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 83001)
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