RACHEL VANWORMER NP
NPI 1013366616
Nurse Practitioner - Family in Saint Helen, MI

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
1360 N SAINT HELEN RD, SAINT HELEN, MI 48656(989) 826-3271 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rachel Vanwormer Np NPPES

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

RACHEL VANWORMER NP (NPI 1013366616) is an individual family provider in Saint Helen, Michigan, licensed in Michigan (4704267157) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013366616
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL VANWORMERCredential: NP
Location Address1360 N SAINT HELEN RDSaint Helen, MI 48656-9521
Mailing Address1360 N Saint Helen Rd, Po Box 39Saint Helen, MI 48656-9521 · (989) 826-3271
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateAugust 19, 2016
NPI 1013366616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704267157
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704267157 (MI)
1360 N SAINT HELEN RD, Saint Helen, MI 48656

Other Names 1

Former Name (1)Rachel Roe

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rachel Vanwormer Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143516716
PECOS Enrollment IDI20160907002547
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230058
Location1100 E Michigan AveGrayling, MI 49738 · Crawford County
Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48656 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 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers45 claims161 services$5.95 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers30 claims55 services$1.01 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers11 claims28 services$22.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$68.72 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers20 claims79 services$2.81 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 5

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

Clinic/Center (Rural Health)
1360 N SAINT HELEN RD
SAINT HELEN, MI 48656
Family Medicine
1360 N SAINT HELEN RD
SAINT HELEN, MI 48656
Nurse Practitioner
1360 N SAINT HELEN RD
SAINT HELEN, MI 48656
Nurse Practitioner
1360 N SAINT HELEN RD
SAINT HELEN, MI 48656
Family Medicine
1360 N SAINT HELEN RD
SAINT HELEN, MI 48656

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 Rachel Vanwormer's NPI number?

The NPI number for Rachel Vanwormer is 1013366616. It was assigned to this individual provider in the NPPES registry on June 6, 2016. The provider is also known as Rachel Roe.

Where is Rachel Vanwormer located?

Rachel Vanwormer practices at 1360 N Saint Helen Rd, Saint Helen, MI 48656. The listed phone number is (989) 826-3271.

What is Rachel Vanwormer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachel Vanwormer enrolled in Medicare?

Yes. Rachel Vanwormer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rachel Vanwormer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Rachel Vanwormer 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.

Is Rachel Vanwormer affiliated with any hospitals?

According to CMS data, Rachel Vanwormer is affiliated with Mclaren Bay Region, Munson Healthcare Grayling Hospital, Mclaren Central Michigan and Mymichigan Medical Center West Branch.

When was this NPI record last updated?

The NPPES record for Rachel Vanwormer was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.