1. Home
  2. Directory
  3. Arkansas
  4. Dermott
  5. Nurse Practitioner
  6. NPI Profile

REBEKAH AYECOCK PMHNP
NPI 1104251180
Nurse Practitioner - Psychiatric/Mental Health in Dermott, AR

Active since September 09, 2013PECOS EnrolledAccepts Medicare Assignment
300 SOUTH SCHOOL ST, DERMOTT, AR 71638(870) 538-3355(855) 811-4203 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2026, Feb 6, 2026, Jun 7, 2021 and 4 more (7 updates tracked since 2018).

About Rebekah Ayecock Pmhnp NPPES

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

REBEKAH AYECOCK PMHNP (NPI 1104251180) is an individual psychiatric/mental health provider in Dermott, Arkansas, licensed in Arkansas (A005810) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104251180
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameREBEKAH AYECOCKCredential: PMHNP
Location Address300 SOUTH SCHOOL STDermott, AR 71638
Mailing Address342 Highway 425 SMonticello, AR 71655-4612 · (870) 942-3000 · Fax (870) 942-3005
Phone(870) 538-3355
Fax(855) 811-4203
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 9, 2013
Last NPPES UpdateMarch 26, 20267 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1104251180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · A005810
300 SOUTH SCHOOL ST, Dermott, AR 71638
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

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

Rebekah Ayecock Pmhnp 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 ID9638423601
PECOS Enrollment IDI20181205000052
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.

Medicare Billing Reassignment

Medicare enrollment records show Rebekah Ayecock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainline Health Systems Inc
0.1 mi
Federally Qualified Health Center (FQHC)
210 S SCHOOL ST
Dermott, AR 71638
  • Reassigned Medicare billing, Arkansas enrollment
  • 63 clinicians in this Medicare group
NPI 1386758043 (870) 538-5296

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71638 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$45.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Rebekah Ayecock's NPI number?

The NPI number for Rebekah Ayecock is 1104251180. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Where is Rebekah Ayecock located?

Rebekah Ayecock practices at 300 South School St, Dermott, AR 71638. The listed phone number is (870) 538-3355.

What is Rebekah Ayecock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rebekah Ayecock enrolled in Medicare?

Yes. Rebekah Ayecock 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 organization bills Medicare for Rebekah Ayecock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebekah Ayecock reassigns Medicare benefits to Mainline Health Systems Inc (Dermott, AR). The 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 Rebekah Ayecock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebekah Ayecock accept?

Health plans from Health Advantage and Octave list Rebekah Ayecock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebekah Ayecock was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.