REBECCA ANN RAYBORN PMHNP
NPI 1710674155
Nurse Practitioner - Psychiatric/Mental Health in Magnolia, MS

Active since April 18, 2023PECOS EnrolledAccepts Medicare Assignment
120 E MYRTLE ST, MAGNOLIA, MS 39652(601) 869-7330(601) 783-5812 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2023, Jun 1, 2023 (2 updates tracked since 2023).

About Rebecca Ann Rayborn Pmhnp NPPES

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

REBECCA ANN RAYBORN PMHNP (NPI 1710674155) is an individual psychiatric/mental health provider in Magnolia, Mississippi, licensed in Mississippi (905970) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flowood, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710674155
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameREBECCA ANN RAYBORNCredential: PMHNP
Location Address120 E MYRTLE STMagnolia, MS 39652-2834
Mailing Address1165 DeerfieldSummit, MS 39666-8124 · (601) 869-7330
Fax(601) 783-5812
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 18, 2023
Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1710674155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 905970
120 E MYRTLE ST, Magnolia, MS 39652

Secondary Practice Location 1

Location 1215 Katherine Dr Ste AFlowood, MS 39232-9588 · Phone (601) 665-4162 · Fax (888) 398-1151

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 Ann Rayborn Pmhnp 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 ID6204292444
PECOS Enrollment IDI20260618000416
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

4

Medicare enrollment records show Rebecca Rayborn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
120 W MAIN ST
Raymond, MS 39154
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group
Rural Health
417 N MARTIN LUTHER KING DR
Simmesport, LA 71369
  • Reassigned Medicare billing, Louisiana enrollment
  • 42 clinicians in this Medicare group
Rural Health
1911 MISSION 66 STE B
Vicksburg, MS 39180
  • Reassigned Medicare billing, Mississippi enrollment
  • 180 clinicians in this Medicare group
Rural Health
1727 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 164 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 39652 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

Nurse Practitioner (Family)
120 E MYRTLE ST
MAGNOLIA, MS 39652

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 Rayborn's NPI number?

The NPI number for Rebecca Rayborn is 1710674155. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Rebecca Rayborn located?

Rebecca Rayborn practices at 120 E Myrtle St, Magnolia, MS 39652. The listed phone number is (601) 869-7330.

What is Rebecca Rayborn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rebecca Rayborn enrolled in Medicare?

Yes. Rebecca Rayborn 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 Rayborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Rayborn reassigns Medicare benefits to 4 organizations: Minor Med Care, LLC (Raymond, MS), Louisiana Health Care Practitioners LLC (Simmesport, LA), Mdb Behavioral Health Services LLC (Vicksburg, MS) and Uppal Medical Center LLC (Greenville, MS). 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 Rayborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Rayborn accept?

Health plans from UnitedHealthcare list Rebecca Rayborn 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 Rayborn was last updated on January 30, 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.