RACHAEL SEESE CRNP
NPI 1134556301
Nurse Practitioner - Family in Tobyhanna, PA

Active since October 03, 2013PECOS EnrolledAccepts Medicare Assignment
79.45/100
CMS Quality Rating
100 COMMUNITY DR, STE 102, TOBYHANNA, PA 18466(570) 839-8754(570) 839-1079 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rachael Seese Crnp NPPES

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

RACHAEL SEESE CRNP (NPI 1134556301) is an individual family provider in Tobyhanna, Pennsylvania, licensed in Pennsylvania (SP012959) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1134556301
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHAEL SEESECredential: CRNP
Location Address100 COMMUNITY DR, STE 102Tobyhanna, PA 18466-8985
Mailing AddressPo Box 827658Philadelphia, PA 19182-7658 · (570) 420-4951 · Fax (570) 476-3754
Fax(570) 839-1079
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 3, 2013
Last NPPES UpdateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
NPI 1134556301 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 PA · SP012959
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP012959 (PA)
100 COMMUNITY DR, Tobyhanna, PA 18466

Accepted 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

Rachael Seese Crnp 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 ID1951539808
PECOS Enrollment IDI20140122001720
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
168 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
78 services78 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.
76 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
19 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18466 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.12
Promoting Interoperability86
Improvement Activities40
Cost60.65

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$204.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
100 COMMUNITY DR, STE 106
TOBYHANNA, PA 18466
Physical Therapist
100 COMMUNITY DR, 105
TOBYHANNA, PA 18466
Family Medicine
100 COMMUNITY DR
TOBYHANNA, PA 18466
Speech-Language Pathologist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Physician Assistant
100 COMMUNITY DR, SUITE 203
TOBYHANNA, PA 18466
Physical Medicine & Rehabilitation
100 COMMUNITY DR
TOBYHANNA, PA 18466
Physical Therapist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466

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 Rachael Seese's NPI number?

The NPI number for Rachael Seese is 1134556301. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Where is Rachael Seese located?

Rachael Seese practices at 100 Community Dr Ste 102, Tobyhanna, PA 18466. The listed phone number is (570) 839-8754.

What is Rachael Seese's specialty?

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

Is Rachael Seese enrolled in Medicare?

Yes. Rachael Seese 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.

What insurance does Rachael Seese accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Rachael Seese 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 Rachael Seese affiliated with any hospitals?

According to CMS data, Rachael Seese is affiliated with Lehigh Valley Hospital, St Luke's Miners Memorial Hospital and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Rachael Seese was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.