REBECCA L PAFFENROTH APRN
NPI 1720543218
Nurse Practitioner - Adult Health in Peachtree City, GA
About Rebecca L Paffenroth Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA L PAFFENROTH APRN (NPI 1720543218) is an individual adult health provider in Peachtree City, Georgia, licensed in Florida (APRN11001090) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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 L Paffenroth Aprn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Rebecca Paffenroth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peachtree City, GA 30269
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
Douglasville, GA 30135
- Reassigned Medicare billing, Georgia enrollment
- 5 clinicians in this Medicare group
Carrollton, GA 30117
- Reassigned Medicare billing, Georgia enrollment
- 7 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 30269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEACHTREE CITY, GA 30269
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 Paffenroth's NPI number?
The NPI number for Rebecca Paffenroth is 1720543218. It was assigned to this individual provider in the NPPES registry on February 8, 2019.
Where is Rebecca Paffenroth located?
Rebecca Paffenroth practices at 2579 Highway 54, Peachtree City, GA 30269. The listed phone number is (770) 487-2645.
What is Rebecca Paffenroth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Rebecca Paffenroth enrolled in Medicare?
Yes. Rebecca Paffenroth 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 Paffenroth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Paffenroth reassigns Medicare benefits to 3 organizations: Advanced Dermatology At Skincare 5th Avenue, LLC (Peachtree City, GA), Advanced Dermatology,p.C. (Douglasville, GA) and Dermatology Specialists Of W Ga (Carrollton, GA). 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 Paffenroth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Paffenroth accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Rebecca Paffenroth 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 Paffenroth was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Rebecca L Paffenroth, APRN · NPI 1720543218
Adult Health physician in Peachtree City, Georgia. Individual provider, active in the CMS NPPES registry since February 8, 2019.
## Identity
- **NPI:** 1720543218 (Entity type: Individual)
- **Enumerated:** February 8, 2019
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN11001090 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2579 HIGHWAY 54, Peachtree City, GA 30269-1451
- **Phone:** (770) 487-2645 · **Fax:** (678) 273-7218
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Advanced Dermatology At Skincare 5th Avenue, LLC (NPI 1366277436, Peachtree City, GA); Advanced Dermatology,p.C. (NPI 1932360757, Douglasville, GA); Dermatology Specialists Of W Ga (NPI 1780658203, Carrollton, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720543218) · Data from the CMS NPPES public registry.