DR. JESSICA DANIELLE REBAZA MD
NPI 1962262220
Student in an Organized Health Care Education/Training Program in Cornelius, NC

Q: What is Jessica Rebaza's NPI number?

The NPI number for Jessica Rebaza is 1962262220. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Q: What is Jessica Rebaza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Rebaza was last updated on June 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2024PECOS Enrolled

19475 OLD JETTON RD STE 200, CORNELIUS, NC 28031(704) 316-5136 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jessica Danielle Rebaza Md NPPES

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

DR. JESSICA DANIELLE REBAZA MD (NPI 1962262220) is an individual student in an organized health care education/training program in Cornelius, North Carolina, licensed in North Carolina (RTL24-0982) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962262220

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JESSICA DANIELLE REBAZACredential: MD

Location Address19475 OLD JETTON RD STE 200Cornelius, NC 28031-6591

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-5136

Sole ProprietorNo

Enumeration DateMarch 21, 2024

Last NPPES UpdateJune 12, 2024

NPPES CertifiedMarch 21, 2024

✔ NPI 1962262220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · RTL24-0982

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

19475 OLD JETTON RD STE 200, Cornelius, NC 28031

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Danielle Rebaza Md 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.

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