REBEKAH J HAUCK FNP
NPI 1629769112
Nurse Practitioner - Family in Johnson City, TN
About Rebekah J Hauck Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBEKAH J HAUCK FNP (NPI 1629769112) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (32706) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rebekah J Hauck Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rebekah Hauck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Tennessee enrollment
- 528 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 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Rebekah Hauck's NPI number?
The NPI number for Rebekah Hauck is 1629769112. It was assigned to this individual provider in the NPPES registry on May 16, 2023.
Where is Rebekah Hauck located?
Rebekah Hauck practices at 411 Peachtree St, Johnson City, TN 37604. The listed phone number is (423) 791-4667.
What is Rebekah Hauck's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rebekah Hauck enrolled in Medicare?
Yes. Rebekah Hauck is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rebekah Hauck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebekah Hauck reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Rebekah Hauck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rebekah Hauck was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Rebekah J Hauck, FNP · NPI 1629769112
Family physician in Johnson City, Tennessee. Individual provider, active in the CMS NPPES registry since May 16, 2023.
## Identity
- **NPI:** 1629769112 (Entity type: Individual)
- **Enumerated:** May 16, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 32706 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 411 PEACHTREE ST, Johnson City, TN 37604-4461
- **Phone:** (423) 791-4667
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629769112) · Data from the CMS NPPES public registry.