REBECCA L MARTINEZ GONZALEZ PA-C
NPI 1356307664
Physician Assistant - Surgical in Camp Lejeune, NC

Q: What is Rebecca Martinez Gonzalez's NPI number?

The NPI number for Rebecca Martinez Gonzalez is 1356307664. It was assigned to this individual provider in the NPPES registry on April 25, 2006. The provider is also known as Rebecca Sutphin PA.

Q: What is Rebecca Martinez Gonzalez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since April 25, 2006PECOS Enrolled

100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-3902 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2025, Mar 10, 2021, Sep 10, 2019 and 1 more (4 updates tracked since 2017).

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About Rebecca L Martinez Gonzalez Pa-c NPPES

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

REBECCA L MARTINEZ GONZALEZ PA-C (NPI 1356307664) is an individual surgical provider in Camp Lejeune, North Carolina, licensed in North Carolina (0010-05853) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Camp Lejeune.

NPPES Registry Identity

NPI1356307664

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameREBECCA L MARTINEZ GONZALEZCredential: PA-C

Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575

Mailing Address803 Canvas CtSwansboro, NC 28584-8844 · (252) 764-5464

Phone(910) 450-3902

Sole ProprietorNo

Enumeration DateApril 25, 2006

Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1356307664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in NC · 0010-05853✔ Licensed in TN · 0000000910✔ Licensed in VA · 0110001067

100 BREWSTER BLVD, Camp Lejeune, NC 28547

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Other Names 1

Former Name (1)Rebecca Sutphin Pa

Secondary Practice Location 1

Location 1100 Brewster BlvdCamp Lejeune, NC 28547-2575 · Phone (910) 450-4820 · Fax (910) 450-3858

Other Identifiers 11

Other1356307664VA · Optima Health Plan

Other1356307664VA · Intotal

OtherP01041461VA · Railroad Medicare

Other1356307664VA · Medicaid Qmb

Other1356307664VA · Umwa

Other1356307664VA · Anthem Medigap

Other1356307664VA · Humana Medicare

Other540506332108VA · Tricare/champus

Other1356307664VA · Black Lung

Other1356307664VA · Aetna

Other1356307664VA · Southern Health/carenet/carelink/coventry

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 L Martinez Gonzalez Pa-c 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.

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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.

MR. JUSTIN THOMAS DAUGHTRY D.O.

Emergency Medicine