REBECCA SPOTTS CRNP
NPI 1538536487
Nurse Practitioner - Family in Pottsville, PA

Active since August 26, 2015PECOS EnrolledAccepts Medicare Assignment
79.25/100
CMS Quality Rating
171 RED HORSE RD, POTTSVILLE, PA 17901(570) 628-2229(570) 628-5185 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2020, Jan 21, 2016 (2 updates tracked since 2016).

About Rebecca Spotts Crnp NPPES

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

REBECCA SPOTTS CRNP (NPI 1538536487) is an individual family provider in Pottsville, Pennsylvania, licensed in Pennsylvania (SP015583) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1538536487
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA SPOTTSCredential: CRNP
Location Address171 RED HORSE RDPottsville, PA 17901-9119
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 224-1892
Fax(570) 628-5185
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 26, 2015
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1538536487 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 PA · SP015583
171 RED HORSE RD, Pottsville, PA 17901

Other Names 1

Former Name (1)Rebecca Taylor

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 Spotts Crnp 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 ID1951606664
PECOS Enrollment IDI20160217002194
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rebecca Spotts reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Emergency Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
General Practice
564 W BROAD ST, SUITE 2
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hazleton Professional Services
  • 305 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.35
Promoting Interoperability87
Improvement Activities40
Cost62.21

Other Providers at the Same Location NPPES 10

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

Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Surgery
171 RED HORSE RD
POTTSVILLE, PA 17901
Physician Assistant
171 RED HORSE RD
POTTSVILLE, PA 17901
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Advanced Practice Midwife
171 RED HORSE RD
POTTSVILLE, PA 17901

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 Spotts's NPI number?

The NPI number for Rebecca Spotts is 1538536487. It was assigned to this individual provider in the NPPES registry on August 26, 2015. The provider is also known as Rebecca Taylor.

Where is Rebecca Spotts located?

Rebecca Spotts practices at 171 Red Horse Rd, Pottsville, PA 17901. The listed phone number is (570) 628-2229.

What is Rebecca Spotts's specialty?

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

Is Rebecca Spotts enrolled in Medicare?

Yes. Rebecca Spotts 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 organizations bill Medicare for Rebecca Spotts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Spotts reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Pottsville, PA), Schuylkill Health System Medical Group, Inc. (Pottsville, PA) and Lehigh Valley Physician Group (Hazleton, PA). Each 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 Spotts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Spotts accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Rebecca Spotts 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 Spotts was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.