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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RACHEL M VEALEY CNP
NPI 1013513530
Nurse Practitioner - Family in Ashland, OH

Active since December 09, 2020PECOS Enrolled
70.91/100
CMS Quality Rating
1016 SUGARBUSH DR, ASHLAND, OH 44805(419) 903-0404(419) 903-0405 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Dec 5, 2023, Dec 9, 2020 (3 updates tracked since 2020).

About Rachel M Vealey Cnp NPPES

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

RACHEL M VEALEY CNP (NPI 1013513530) is an individual family provider in Ashland, Ohio, licensed in Ohio (APRN.CNP.0028084) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013513530
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL M VEALEYCredential: CNP
Location Address1016 SUGARBUSH DRAshland, OH 44805-9489
Mailing Address211 Edgefield BlvdMarion, OH 43302-5801 · (740) 914-4178 · Fax (740) 386-2640
Phone(419) 903-0404
Fax(419) 903-0405
Sole ProprietorYes
Enumeration DateDecember 9, 2020
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1013513530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0028084
1016 SUGARBUSH DR, Ashland, OH 44805
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel M Vealey Cnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rachel Vealey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Incare Health Solutions, LLC
18 mi
Primary Care
375 N LEXINGTON SPRINGMILL RD
Ontario, OH 44906
  • Reassigned Medicare billing, Ohio enrollment
  • 221 clinicians in this Medicare group
NPI 1639621824 (419) 528-0047
PA Post Acute Services PC
95 mi
General Practice
8055 ADDISON RD
Masury, OH 44438
  • Reassigned Medicare billing, Ohio enrollment
  • 76 clinicians in this Medicare group
NPI 1255057063 (330) 448-2547
Cnp Operating Co LLC
  • Reassigned Medicare billing, Ohio enrollment
  • 105 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
374 services61 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
119 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
94 services44 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
42 services13 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
21 services16 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44805 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.01
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

TIA MANDELA
Nurse Practitioner (Family)
1016 SUGARBUSH DR
ASHLAND, OH 44805
Ashland County (419) 903-0404
JASON ALLEN BISHOP MSN, APRN, FNP-C
Nurse Practitioner (Family)
1016 SUGARBUSH DR
ASHLAND, OH 44805
Ashland County (419) 903-0404
MORGAN R KAMENIK CNP
Nurse Practitioner
1016 SUGARBUSH DR
ASHLAND, OH 44805
Ashland County (419) 903-0404

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 Vealey's NPI number?

The NPI number for Rachel Vealey is 1013513530. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Rachel Vealey located?

Rachel Vealey practices at 1016 Sugarbush Dr, Ashland, OH 44805. The listed phone number is (419) 903-0404.

What is Rachel Vealey's specialty?

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

Is Rachel Vealey enrolled in Medicare?

Yes. Rachel Vealey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachel Vealey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Vealey reassigns Medicare benefits to 3 organizations: Incare Health Solutions, LLC (Ontario, OH), PA Post Acute Services PC (Masury, OH) and Cnp Operating Co LLC (OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Vealey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Vealey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Rachel Vealey 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.

When was this NPI record last updated?

The NPPES record for Rachel Vealey was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.