MEDICARE: REBECCA ANNE BARTELS RN, NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	332480	AZ
2	163W00000X	Registered Nurse	RN153182	AZ

General Provider Information

NPI Number	:	1639044407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANNE BARTELS RN, NP

Provider Business Mailing Address
First Line	:	9936 E ESCONDIDO AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85208-5848
Country	:	US
Telephone Number	:	480-327-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6750 E BAYWOOD AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-1749
Country	:	US
Telephone Number	:	480-854-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	12/09/2025

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