RACHEL PFLUM CNP
NPI 1063985257
Nurse Practitioner - Family in Milford, MA
About Rachel Pflum Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL PFLUM CNP (NPI 1063985257) is an individual family provider in Milford, Massachusetts, licensed in Massachusetts (RN2261178) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rachel Pflum Cnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Rachel Pflum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roxbury Crossing, MA 02120
- Reassigned Medicare billing, Massachusetts enrollment
- 112 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Brigham And Women's Hospital
Acute Care Hospitals · Boston, MAFaulkner Hospital-Brigham And Women's
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILFORD, MA 01757
MILFORD, MA 01757
MILFORD, MA 01757
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 Pflum's NPI number?
The NPI number for Rachel Pflum is 1063985257. It was assigned to this individual provider in the NPPES registry on January 10, 2019.
Where is Rachel Pflum located?
Rachel Pflum practices at 14 Prospect St, Milford, MA 01757. The listed phone number is (857) 307-7246.
What is Rachel Pflum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rachel Pflum enrolled in Medicare?
Yes. Rachel Pflum 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.
Which organizations bill Medicare for Rachel Pflum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Pflum reassigns Medicare benefits to 2 organizations: New England Baptist Medical Associates, Inc. (Roxbury Crossing, MA) and Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Pflum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel Pflum accept?
Health plans from Taro Health list Rachel Pflum 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 Pflum affiliated with any hospitals?
According to CMS data, Rachel Pflum is affiliated with Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.
When was this NPI record last updated?
The NPPES record for Rachel Pflum was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Rachel Pflum, CNP · NPI 1063985257
Family physician in Milford, Massachusetts. Individual provider, active in the CMS NPPES registry since January 10, 2019.
## Identity
- **NPI:** 1063985257 (Entity type: Individual)
- **Enumerated:** January 10, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2261178 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 14 PROSPECT ST, Milford, MA 01757-3003
- **Phone:** (857) 307-7246
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): New England Baptist Medical Associates, Inc. (NPI 1609854991, Roxbury Crossing, MA); Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 2018
## Record status
- **NPPES last updated:** January 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063985257) · Data from the CMS NPPES public registry.