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RACHEL M LUGO FNP
NPI 1114514247
Nurse Practitioner - Family in Chandler, AZ

Active since December 22, 2020PECOS EnrolledAccepts Medicare Assignment
75.56/100
CMS Quality Rating
1020 E RAY RD STE 5, CHANDLER, AZ 85225(480) 677-8282(844) 470-2777 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2025, Oct 24, 2023, Sep 29, 2021 and 1 more (4 updates tracked since 2020).

About Rachel M Lugo Fnp NPPES

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

RACHEL M LUGO FNP (NPI 1114514247) is an individual family provider in Chandler, Arizona, licensed in Arizona (251374) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114514247
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL M LUGOCredential: FNP
Location Address1020 E RAY RD STE 5Chandler, AZ 85225-1502
Mailing Address261 N Roosevelt AveChandler, AZ 85226-2617 · (480) 677-8282 · Fax (844) 470-2777
Phone(480) 677-8282
Fax(844) 470-2777
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 22, 2020
Last NPPES UpdateSeptember 5, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1114514247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 251374
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 251374 (AZ)
1020 E RAY RD STE 5, Chandler, AZ 85225
Open in Google Maps ↗

Other Names 1

Former Name (1)Rachel Oprihory Np

Other Identifiers 1

Medicaid103018AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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 M Lugo Fnp 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 ID3476959305
PECOS Enrollment IDI20210901001281
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 Reassignments

5

Medicare enrollment records show Rachel Lugo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Good Health Medical, PLLC
Same address
Family Medicine
1020 E RAY RD STE 5
Chandler, AZ 85225
  • Reassigned Medicare billing, Arizona enrollment
  • 321 clinicians in this Medicare group
NPI 1639996853 (480) 677-8282
Honorhealth-Fastmed Ambulatory Holdings LLC
4.0 mi
Urgent Care
2875 W RAY RD STE 8
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 60 clinicians in this Medicare group
NPI 1952918583 (480) 899-3070
American Vascular Specialists LLC
8.7 mi
Vascular Surgery
6636 E BASELINE RD STE 100
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1871026484 (480) 912-6262
Honorhealth Urgent Care, LLC
9.0 mi
Urgent Care
1124 E MCKELLIPS RD STE 102
Mesa, AZ 85203
  • Reassigned Medicare billing, Arizona enrollment
  • 134 clinicians in this Medicare group
NPI 1427615012 (480) 587-5520
Heavens Urgent Care LLC
17 mi
Urgent Care
95 S IDAHO RD STE 140
Apache Junction, AZ 85119
  • Reassigned Medicare billing, Arizona enrollment
  • 13 clinicians in this Medicare group
NPI 1578065827 (480) 444-1160

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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
93 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services55 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
25 services25 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85225 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

75.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.96
Promoting Interoperability100
Improvement Activities40
Cost44.58

Other Providers at the Same Location NPPES 4

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

LUZETTE MARTINEZ-PORRAS FNP- C
Nurse Practitioner (Family)
1020 E RAY RD STE 5
CHANDLER, AZ 85225
Maricopa County (480) 677-8282
MS. KRISTIN TURNER FNP
Nurse Practitioner (Family)
1020 E RAY RD STE 5
CHANDLER, AZ 85225
Maricopa County (480) 677-8282
MS. LAURA MAY HUBBARD PA-C, RD,LD
Physician Assistant
1020 E RAY RD STE 5
CHANDLER, AZ 85225
Maricopa County (480) 677-8282
GOOD HEALTH MEDICAL, PLLC
Family Medicine
1020 E RAY RD STE 5
CHANDLER, AZ 85225
Maricopa County (480) 677-8282

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 Lugo's NPI number?

The NPI number for Rachel Lugo is 1114514247. It was assigned to this individual provider in the NPPES registry on December 22, 2020. The provider is also known as Rachel Oprihory Np.

Where is Rachel Lugo located?

Rachel Lugo practices at 1020 E Ray Rd Ste 5, Chandler, AZ 85225. The listed phone number is (480) 677-8282.

What is Rachel Lugo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachel Lugo enrolled in Medicare?

Yes. Rachel Lugo 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 Lugo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Lugo reassigns Medicare benefits to 5 organizations: Good Health Medical, PLLC (Chandler, AZ), Honorhealth-Fastmed Ambulatory Holdings LLC (Chandler, AZ), American Vascular Specialists LLC (Mesa, AZ), Honorhealth Urgent Care, LLC (Mesa, AZ) and Heavens Urgent Care LLC (Apache Junction, AZ). 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 Lugo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Lugo accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list Rachel Lugo 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.

When was this NPI record last updated?

The NPPES record for Rachel Lugo was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.