RACHAEL BOLLINGER
NPI 1053137703
Nurse Practitioner - Acute Care in Santa Monica, CA

Q: What is Rachael Bollinger's NPI number?

The NPI number for Rachael Bollinger is 1053137703. It was assigned to this individual provider in the NPPES registry on November 26, 2024.

Q: What is Rachael Bollinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Rachael Bollinger was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 26, 2024PECOS Enrolled

1250 16TH ST, SANTA MONICA, CA 90404(424) 259-9457 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rachael Bollinger NPPES

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

RACHAEL BOLLINGER (NPI 1053137703) is an individual acute care provider in Santa Monica, California, licensed in California (95030494) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053137703

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameRACHAEL BOLLINGER

Location Address1250 16TH STSanta Monica, CA 90404-1249

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(424) 259-9457

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 26, 2024

Last NPPES UpdateOctober 16, 2025

NPPES CertifiedOctober 16, 2025

✔ NPI 1053137703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95030494

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95030494 (CA)

1250 16TH ST, Santa Monica, CA 90404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael Bollinger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113455486

PECOS Enrollment IDI20251015003333

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

ISABELLA JUSAY NP

Nurse Practitioner