MRS. REBECCA DOTTOLO NP
NPI 1053672261
Nurse Practitioner - Family in Fulton, NY
About Mrs. Rebecca Dottolo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. REBECCA DOTTOLO NP (NPI 1053672261) is an individual family provider in Fulton, New York, licensed in New York (603366) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Rebecca Dottolo Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Rebecca Dottolo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fulton, NY 13069
- Reassigned Medicare billing, New York enrollment
- 129 clinicians in this Medicare group
Fulton, NY 13069
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
Auburn, NY 13021
- Reassigned Medicare billing, New York enrollment
- 277 clinicians in this Medicare group
Auburn, NY 13021
- Reassigned Medicare billing, New York enrollment
- 249 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rebecca Dottolo's NPI number?
The NPI number for Rebecca Dottolo is 1053672261. It was assigned to this individual provider in the NPPES registry on June 4, 2012. The provider is also known as Rebecca Allen.
Where is Rebecca Dottolo located?
Rebecca Dottolo practices at 510 S 4th St, Fulton, NY 13069. The listed phone number is (315) 592-3500.
What is Rebecca Dottolo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rebecca Dottolo enrolled in Medicare?
Yes. Rebecca Dottolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Rebecca Dottolo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Dottolo reassigns Medicare benefits to 4 organizations: Port City Emergency Physicians LLP (Fulton, NY), Fulton Family Medicine Practice PC (Fulton, NY), Auburn Community Hospital (Auburn, NY) and Auburn Memorial Medical Services, PC (Auburn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Dottolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rebecca Dottolo was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Rebecca Dottolo, NP · NPI 1053672261
Family physician in Fulton, New York. Individual provider, active in the CMS NPPES registry since June 4, 2012.
## Identity
- **NPI:** 1053672261 (Entity type: Individual)
- **Enumerated:** June 4, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 603366 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 S 4TH ST, Fulton, NY 13069-2904
- **Phone:** (315) 592-3500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Port City Emergency Physicians LLP (NPI 1548402530, Fulton, NY); Fulton Family Medicine Practice PC (NPI 1275806036, Fulton, NY); Auburn Community Hospital (NPI 1902889215, Auburn, NY); Auburn Memorial Medical Services, PC (NPI 1194913749, Auburn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 24, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1053672261) · Data from the CMS NPPES public registry.