REBECCA PROCTOR NP
NPI 1366917965
Nurse Practitioner in Terre Haute, IN

Active since October 10, 2018PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1429 N 6TH ST, TERRE HAUTE, IN 47807(812) 242-3109(812) 242-3990 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Proctor Np NPPES

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

REBECCA PROCTOR NP (NPI 1366917965) is an individual nurse practitioner in Terre Haute, Indiana, licensed in Indiana (71008405A) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366917965
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameREBECCA PROCTORCredential: NP
Location Address1429 N 6TH STTerre Haute, IN 47807-1019
Mailing Address1429 N 6th StTerre Haute, IN 47807-1019 · (812) 242-3109 · Fax (812) 242-3990
Fax(812) 242-3990
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 10, 2018
NPI 1366917965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71008405A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1429 N 6TH ST, Terre Haute, IN 47807

Accepted Insurance

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 Proctor Np 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 ID9931445103
PECOS Enrollment IDI20220513001340
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
213 services162 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.
52 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services36 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47807 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers23 claims23 services$89.60 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers22 claims55 services$31.52 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers14 claims14 services$52.33 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers23 claims23 services$20.35 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
9 suppliers24 claims24 services$16.06 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
10 suppliers31 claims145 services$2.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
1429 N 6TH ST
TERRE HAUTE, IN 47807
Obstetrics & Gynecology
1429 N 6TH ST
TERRE HAUTE, IN 47807
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1429 N 6TH ST
TERRE HAUTE, IN 47807
Physician Assistant
1429 N 6TH ST
TERRE HAUTE, IN 47807
Urology
1429 N 6TH ST
TERRE HAUTE, IN 47807
Otolaryngology
1429 N 6TH ST
TERRE HAUTE, IN 47807
Internal Medicine (Interventional Cardiology)
1429 N 6TH ST
TERRE HAUTE, IN 47807
Internal Medicine (Gastroenterology)
1429 N 6TH ST
TERRE HAUTE, IN 47807

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 Proctor's NPI number?

The NPI number for Rebecca Proctor is 1366917965. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Rebecca Proctor located?

Rebecca Proctor practices at 1429 N 6th St, Terre Haute, IN 47807. The listed phone number is (812) 242-3109.

What is Rebecca Proctor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rebecca Proctor enrolled in Medicare?

Yes. Rebecca Proctor 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.

What insurance does Rebecca Proctor accept?

Health plans from Medica and UnitedHealthcare list Rebecca Proctor 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 Proctor was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.