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MRS. REBECCA LYNN CHILDERS PA NPI 1215068549


NPI Information

NPI: 1215068549
Provider Name: MRS. REBECCA LYNN CHILDERS, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
22711 S ELLSWORTH ROAD
SUITE 104
QUEEN CREEK, AZ
ZIP 85142
Phone: (480) 782-0993
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MRS. Rebecca Lynn Childers, PA is a physician assistant in Queen Creek, AZ with 22 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MRS. Rebecca Lynn Childers, PA NPI is 1215068549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22711 S ELLSWORTH ROAD
SUITE 104
QUEEN CREEK, AZ
ZIP 85142
Phone: (480) 782-0993
Fax: (833) 337-0386

The NPI 1215068549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Abdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscope (HCPCS:58571)
  • Removal of abdominal cavity lymph nodes using an endoscope (HCPCS:38570)
  • Lymph node imaging during surgery (HCPCS:38900)

The enumeration date for this NPI number is 3/8/2007 and was last updated on 11/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant1293NEBRASKANo
2363A00000XPhysician Assistant2760ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100250445-00MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.