REBECCA JO NIELSEN NP
NPI 1912515586
Nurse Practitioner in Grand Rapids, MI

Active since July 20, 2020PECOS Enrolled
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 272-3533(616) 259-4839 Get Directions Write a Review

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

Record update history: Sep 30, 2024, Jun 1, 2023, Jul 20, 2020 (3 updates tracked since 2020).

About Rebecca Jo Nielsen Np NPPES

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

REBECCA JO NIELSEN NP (NPI 1912515586) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704322661) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Burr Ridge.

NPPES Registry Identity

NPI1912515586
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameREBECCA JO NIELSENCredential: NP
Location Address770 KENMOOR AVE SE STE 100Grand Rapids, MI 49546-8602
Mailing Address801 Rosehill RdJackson, MI 49202-1762 · (517) 212-2008 · Fax (517) 212-9023
Fax(616) 259-4839
Sole ProprietorNo
Enumeration DateJuly 20, 2020
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1912515586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704322661
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
770 KENMOOR AVE SE STE 100, Grand Rapids, MI 49546

Secondary Practice Location 1

Location 11000 Burr Ridge Pkwy Ste 201Burr Ridge, IL 60527-0864 · Phone (248) 824-6600 · Fax (855) 618-6655

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Jo Nielsen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Rebecca Nielsen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
770 KENMOOR AVE SE STE 100
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 72 clinicians in this Medicare group
49 mi
Family Medicine
2725 AIRVIEW BLVD STE 105
Portage, MI 49002
  • Reassigned Medicare billing, Michigan enrollment
  • 279 clinicians in this Medicare group
Hospice and Palliative Medicine
801 ROSEHILL RD
Jackson, MI 49202
  • Reassigned Medicare billing, Michigan enrollment
  • 73 clinicians in this Medicare group
Family Medicine
4760 FASHION SQUARE BLVD STE L-1
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 82 clinicians in this Medicare group
Geriatric Medicine
3200 GREENFIELD RD STE 300
Dearborn, MI 48120
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Careconnectmd Michigan P.C.
  • 56 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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
451 services190 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
201 services121 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
96 services78 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
86 services64 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
79 services20 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
76 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$9.28 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers18 claims19 services$51.67 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers12 claims12 services$42.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Family Medicine
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546

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 Nielsen's NPI number?

The NPI number for Rebecca Nielsen is 1912515586. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Rebecca Nielsen located?

Rebecca Nielsen practices at 770 Kenmoor Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 272-3533.

What is Rebecca Nielsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rebecca Nielsen enrolled in Medicare?

Yes. Rebecca Nielsen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rebecca Nielsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Nielsen reassigns Medicare benefits to 5 organizations: Northview Health Specialists, PLLC (Grand Rapids, MI), Vpa PC (Portage, MI), Careline Palliative Care LLC (Jackson, MI), Northview Medical House Calls Plc (Saginaw, MI) and Careconnectmd Michigan PC (Dearborn, MI). 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 Nielsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Nielsen accept?

Health plans from Priority Health list Rebecca Nielsen 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 Nielsen was last updated on September 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.