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REBECCA L PAFFENROTH APRN
NPI 1720543218
Nurse Practitioner - Adult Health in Peachtree City, GA

Active since February 08, 2019PECOS EnrolledAccepts Medicare Assignment
76.41/100
CMS Quality Rating
2579 HIGHWAY 54, PEACHTREE CITY, GA 30269(770) 487-2645(678) 273-7218 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 20, 2025, Sep 22, 2020, Feb 8, 2019 (3 updates tracked since 2019).

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

NPI1720543218
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameREBECCA L PAFFENROTHCredential: APRN
Location Address2579 HIGHWAY 54Peachtree City, GA 30269-1451
Mailing Address2579 Highway 54Peachtree City, GA 30269-1451 · (770) 487-2645 · Fax (678) 273-7218
Phone(770) 487-2645
Fax(678) 273-7218
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 8, 2019
Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1720543218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11001090
2579 HIGHWAY 54, Peachtree City, GA 30269
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 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.

PECOS PAC ID2860732575
PECOS Enrollment IDI20241126000783
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.

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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.87
Promoting Interoperability100
Improvement Activities40
Cost59.5

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.

DR. UNNISA FAIYAZ M.D.
Internal Medicine
2579 HIGHWAY 54
PEACHTREE CITY, GA 30269
Fayette County (770) 487-7807
JOSEPH C GALITZIN MD
Surgery
2579 HIGHWAY 54
PEACHTREE CITY, GA 30269
Fayette County (770) 487-7807
ADVANCED DERMATOLOGY AT SKINCARE 5TH AVENUE, LLC
Dermatology
2579 HIGHWAY 54
PEACHTREE CITY, GA 30269
Fayette County (770) 487-2645
DR. ZIA KHAN MD
Internal Medicine
2579 HIGHWAY 54
PEACHTREE CITY, GA 30269
Fayette County (770) 487-7807
PEACHTREE MEDICAL CENTER
Skilled Nursing Facility
2579 HIGHWAY 54
PEACHTREE CITY, GA 30269
Fayette County (770) 487-7807
MARTHA FRIEDL
Nurse Practitioner (Family)
2579 HIGHWAY 54
PEACHTREE CITY, GA 30269
Fayette County (770) 487-7807

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.

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 18 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.