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Rebecca Jean Nist

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4815 Liberty Ave Ste 115, Pittsburgh, PA 15224-2156

PECOS Enrollment

This provider is enrolled in PECOS as REBECCA NIST.

Based on the most recent information from CMS, provider Rebecca Jean Nist is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1023392404
Provider Type
Individual
Full Name
Nist, Rebecca Jean
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/4/2011
Last Updated
5/27/2022

Contact Information

Practice Location

4815 Liberty Ave Ste 115, Pittsburgh, PA 15224-2156

(412) 578-6808

(412) 688-7517

Mailing Location

4815 Liberty Ave Ste 115, Pittsburgh, PA 15224-2156

(412) 578-6808

(412) 688-7517

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP011344 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 102668727	Description Medicaid	Issuer Unlisted Pennsylvania

Rebecca Jean Nist

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Eiben, Emily Ann Dowler

Yurchak, Dana Lyn

Felton, Kiley

Pearson, Melissa

Palko-Grieggs, Leanne Marie

Burke, Kristin

Imhof, Audrey Marie

Leri, Meghan

Hovanec, Patricia

Blixt, Abigail Jean