REBECCA RENEA SACKMAN FNP
NPI 1194305235
Nurse Practitioner - Family in Steelville, MO

Q: What is Rebecca Sackman's NPI number?

The NPI number for Rebecca Sackman is 1194305235. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Rebecca Sackman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Sackman was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 13, 2021PECOS Enrolled

518 PINE ST, STEELVILLE, MO 65565(573) 775-5838 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Jul 6, 2021, Apr 13, 2021 (3 updates tracked since 2021).

On this page

About Rebecca Renea Sackman Fnp NPPES

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

REBECCA RENEA SACKMAN FNP (NPI 1194305235) is an individual family provider in Steelville, Missouri, licensed in Missouri (2020041681) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194305235

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameREBECCA RENEA SACKMANCredential: FNP

Location Address518 PINE STSteelville, MO 65565-6041

Mailing Address518 Pine StSteelville, MO 65565-6041 · (573) 775-5838

Phone(573) 775-5838

Sole ProprietorNo

Enumeration DateApril 13, 2021

Last NPPES UpdateFebruary 3, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1194305235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2020041681

518 PINE ST, Steelville, MO 65565

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1751 Sappington Bridge RdSullivan, MO 63080-2354 · Phone (573) 860-6000

Location 2965 Mattox DrSullivan, MO 63080-2365 · Phone (573) 860-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Renea Sackman Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65565 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 6

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

ST JOHNS CLINIC INC

Durable Medical Equipment & Medical Supplies