REBECCA B HARTZOG PMHNP
NPI 1215267018
Nurse Practitioner - Psychiatric/Mental Health in Hattiesburg, MS
About Rebecca B Hartzog Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA B HARTZOG PMHNP (NPI 1215267018) is an individual psychiatric/mental health provider in Hattiesburg, Mississippi, licensed in Mississippi (R876189) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted 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
Rebecca B Hartzog 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.
Medicare Billing Reassignment
Medicare enrollment records show Rebecca Hartzog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hattiesburg, MS 39402
- Reassigned Medicare billing, Mississippi enrollment
- 696 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 39402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HATTIESBURG, MS 39402
HATTIESBURG, MS 39402
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 Hartzog's NPI number?
The NPI number for Rebecca Hartzog is 1215267018. It was assigned to this individual provider in the NPPES registry on December 30, 2009. The provider is also known as Rebecca A Burris Fpmhnp.
Where is Rebecca Hartzog located?
Rebecca Hartzog practices at 1 Lincoln Pkwy Ste 304, Hattiesburg, MS 39402. The listed phone number is (601) 261-1750.
What is Rebecca Hartzog's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Rebecca Hartzog enrolled in Medicare?
Yes. Rebecca Hartzog 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 Rebecca Hartzog's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Hartzog reassigns Medicare benefits to Hattiesburg Clinic PA (Hattiesburg, MS). 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 Rebecca Hartzog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Hartzog accept?
Health plans from Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Rebecca Hartzog 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 Rebecca Hartzog was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Rebecca B Hartzog, PMHNP · NPI 1215267018
Psychiatric/Mental Health physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since December 30, 2009.
## Identity
- **NPI:** 1215267018 (Entity type: Individual)
- **Enumerated:** December 30, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R876189 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 LINCOLN PKWY STE 304, Hattiesburg, MS 39402-3261
- **Phone:** (601) 261-1750 · **Fax:** (601) 261-1755
## 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:** Hattiesburg Clinic PA (NPI 1003905076, Hattiesburg, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 11, 2020
- **Other identifiers:** Medicaid 04973557 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1215267018) · Data from the CMS NPPES public registry.