MRS. RACHEL C. GIFFHORN PMHNP-BC
NPI 1013720077
Nurse Practitioner in Highland, IL

Q: What is Rachel Giffhorn's NPI number?

The NPI number for Rachel Giffhorn is 1013720077. It was assigned to this individual provider in the NPPES registry on January 31, 2025.

Q: What is Rachel Giffhorn'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 Giffhorn was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 January 31, 2025PECOS EnrolledAccepts Medicare Assignment

12860 TROXLER AVE, HIGHLAND, IL 62249(618) 651-2810 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Rachel C. Giffhorn Pmhnp-bc NPPES

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

MRS. RACHEL C. GIFFHORN PMHNP-BC (NPI 1013720077) is an individual nurse practitioner in Highland, Illinois, licensed in Illinois (209031663) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013720077

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. RACHEL C. GIFFHORNCredential: PMHNP-BC

Location Address12860 TROXLER AVEHighland, IL 62249-2898

Mailing Address6422 Ole Still DrWaterloo, IL 62298-2561 · (314) 448-2080

Phone(618) 651-2810

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 31, 2025

Last NPPES UpdateMay 8, 2025

NPPES CertifiedMay 8, 2025

✔ NPI 1013720077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209031663

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.

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 2025002107 (MO)

12860 TROXLER AVE, Highland, IL 62249

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Mrs. Rachel C. Giffhorn Pmhnp-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 ID1759800998

PECOS Enrollment IDI20250521001942

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

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

St Joseph's Hospital

Critical Access Hospitals · Highland, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number141336

Location12866 Troxler AvenueHighland, IL 62249 · Madison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62249 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Other Providers at the Same Location NPPES 20

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

DR. NANTHINI SUTHAN M.D

Internal Medicine