REBECCA ELIZABETH RENFROE NP
NPI 1093450728
Nurse Practitioner in Carbondale, IL

Q: What is Rebecca Renfroe's NPI number?

The NPI number for Rebecca Renfroe is 1093450728. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Q: What is Rebecca Renfroe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Renfroe was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since April 27, 2022PECOS EnrolledAccepts Medicare Assignment

305 W JACKSON ST STE 206, CARBONDALE, IL 62901(618) 457-3031(618) 457-3032 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Apr 27, 2022 (2 updates tracked since 2022).

On this page

About Rebecca Elizabeth Renfroe Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA ELIZABETH RENFROE NP (NPI 1093450728) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209023102) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains a secondary practice location in Carbondale.

NPPES Registry Identity

NPI1093450728

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameREBECCA ELIZABETH RENFROECredential: NP

Location Address305 W JACKSON ST STE 206Carbondale, IL 62901-1474

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 457-3031

Fax(618) 457-3032

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 27, 2022

Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1093450728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209023102

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

305 W JACKSON ST STE 206, Carbondale, IL 62901

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Secondary Practice Location 1

Location 1405 W Jackson StCarbondale, IL 62901-1467 · Phone (618) 549-0721

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca Elizabeth Renfroe 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.

PECOS PAC ID9032595335

PECOS Enrollment IDI20221010001169

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140210

Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROY R DANKS DO

Surgery