REBECCA LOUISE RUNDBLAD FNP
NPI 1316723745
Nurse Practitioner - Family in New York, NY

Active since September 01, 2023PECOS EnrolledAccepts Medicare Assignment
139 CENTRE ST PH 120, NEW YORK, NY 10013(888) 731-8994 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2025, Jun 23, 2025, Sep 1, 2023 (3 updates tracked since 2023).

About Rebecca Louise Rundblad Fnp NPPES

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

REBECCA LOUISE RUNDBLAD FNP (NPI 1316723745) is an individual family provider in New York, New York, licensed in New York (350687) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Latham, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316723745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA LOUISE RUNDBLADCredential: FNP
Location Address139 CENTRE ST PH 120New York, NY 10013-4559
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 1, 2023
Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1316723745 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 NY · 350687
139 CENTRE ST PH 120, New York, NY 10013

Secondary Practice Location 1

Location 16 Wellness Way Ste G03Latham, NY 12110-2135 · Phone (518) 271-9155 · Fax (518) 271-9173

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 Louise Rundblad Fnp 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 ID5294178604
PECOS Enrollment IDI20240213000644
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.

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
685 services685 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
73 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
Nurse Practitioner (Family)
139 CENTRE ST PH 120
NEW YORK, NY 10013
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013

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 Rundblad's NPI number?

The NPI number for Rebecca Rundblad is 1316723745. It was assigned to this individual provider in the NPPES registry on September 1, 2023.

Where is Rebecca Rundblad located?

Rebecca Rundblad practices at 139 Centre St Ph 120, New York, NY 10013. The listed phone number is (888) 731-8994.

What is Rebecca Rundblad's specialty?

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

Is Rebecca Rundblad enrolled in Medicare?

Yes. Rebecca Rundblad 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.

When was this NPI record last updated?

The NPPES record for Rebecca Rundblad was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.