RACHAEL CARLY SCHMOLDT BEASLEY APRN
NPI 1063303592
Nurse Practitioner in Jacksonville, FL

Q: What is Rachael Beasley's NPI number?

The NPI number for Rachael Beasley is 1063303592. It was assigned to this individual provider in the NPPES registry on July 12, 2025.

Q: What is Rachael Beasley'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 Rachael Beasley was last updated on July 12, 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 July 12, 2025PECOS Enrolled

7406 FULLERTON ST STE 105, JACKSONVILLE, FL 32256(904) 802-6800 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Rachael Carly Schmoldt Beasley Aprn NPPES

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

RACHAEL CARLY SCHMOLDT BEASLEY APRN (NPI 1063303592) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11038140) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063303592

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRACHAEL CARLY SCHMOLDT BEASLEYCredential: APRN

Location Address7406 FULLERTON ST STE 105Jacksonville, FL 32256-3588

Mailing Address26936 Willie Hodges RdHilliard, FL 32046-8324 · (904) 627-6467

Phone(904) 802-6800

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 12, 2025

NPPES CertifiedJuly 12, 2025

✔ NPI 1063303592 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 FL · APRN11038140

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.

7406 FULLERTON ST STE 105, Jacksonville, FL 32256

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael Carly Schmoldt Beasley Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426534223

PECOS Enrollment IDI20260112002161

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 Reassignment

Medicare enrollment records show Rachael Beasley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitas Solutions Inc

300 mi

Hospice and Palliative Medicine

3170 EXECUTIVE WAY
Miramar, FL 33025

Reassigned Medicare billing, Florida enrollment
119 clinicians in this Medicare group

NPI 1861666497 (877) 868-4827

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

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 9

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

TARYN HAMILTON APRN

Nurse Practitioner