RACHEL MICHELLE APPLEGATE MSN, FNP-BC
NPI 1013579846
Nurse Practitioner in Macon, GA

Q: What is Rachel Applegate's NPI number?

The NPI number for Rachel Applegate is 1013579846. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Rachel Applegate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Applegate was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment

97.56/100

CMS Quality Rating

657 HEMLOCK ST STE 200, MACON, GA 31201(478) 733-4297 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rachel Michelle Applegate Msn, Fnp-bc NPPES

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

RACHEL MICHELLE APPLEGATE MSN, FNP-BC (NPI 1013579846) is an individual nurse practitioner in Macon, Georgia, licensed in Georgia (RN258212) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013579846

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRACHEL MICHELLE APPLEGATECredential: MSN, FNP-BC

Location Address657 HEMLOCK ST STE 200Macon, GA 31201-8324

Mailing Address657 Hemlock St Ste 200Macon, GA 31201-8324 · (478) 733-4297

Phone(478) 733-4297

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 2, 2019

✔ NPI 1013579846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN258212

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

657 HEMLOCK ST STE 200, Macon, GA 31201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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 Michelle Applegate Msn, Fnp-bc 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 ID143610022

PECOS Enrollment IDI20211208002052

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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

108 services101 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110069

Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County

Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110201

Location400 Charter BoulevardMacon, GA 31210 · Bibb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

97.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.76

Improvement Activities

Other Providers at the Same Location NPPES 2

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

LEONHARD BENJAMIN KERSCHER FNP-BC

Nurse Practitioner (Family)

657 HEMLOCK ST STE 200
MACON, GA 31201

Bibb County (478) 254-7353

KIDNEY CENTER OF CENTRAL GEORGIA, LLC

Internal Medicine (Nephrology)

657 HEMLOCK ST STE 200
MACON, GA 31201

Bibb County (478) 254-7353

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 Applegate's NPI number?

The NPI number for Rachel Applegate is 1013579846. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Rachel Applegate located?

Rachel Applegate practices at 657 Hemlock St Ste 200, Macon, GA 31201. The listed phone number is (478) 733-4297.

What is Rachel Applegate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachel Applegate enrolled in Medicare?

Yes. Rachel Applegate 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 Applegate accept?

Health plans from Alliant Health Plans, Inc. list Rachel Applegate 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 Applegate affiliated with any hospitals?

According to CMS data, Rachel Applegate is affiliated with Houston Healthcare and Piedmont Macon North Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Applegate was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.