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MRS. RACHAEL ROSE BLACKMAR CNP PMHNP
NPI 1174196893
Clinical Nurse Specialist - Psychiatric/Mental Health in Salem, MA

Active since July 20, 2021PECOS EnrolledAccepts Medicare Assignment
81 HIGHLAND HALL, SALEM, MA 01970(978) 741-2000(978) 825-6622 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2023, May 22, 2023, Jul 20, 2021 (3 updates tracked since 2021).

About Mrs. Rachael Rose Blackmar Cnp Pmhnp NPPES

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

MRS. RACHAEL ROSE BLACKMAR CNP PMHNP (NPI 1174196893) is an individual psychiatric/mental health provider in Salem, Massachusetts, licensed in Massachusetts (RN2290774) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174196893
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameMRS. RACHAEL ROSE BLACKMARCredential: CNP PMHNP
Location Address81 HIGHLAND HALLSalem, MA 01970
Mailing Address128 Essex StBeverly, MA 01915 · (978) 825-6620
Phone(978) 741-2000
Fax(978) 825-6622
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 20, 2021
Last NPPES UpdateJune 1, 20233 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1174196893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in MA · RN2290774
81 HIGHLAND HALL, Salem, MA 01970
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health 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

Mrs. Rachael Rose Blackmar Cnp Pmhnp 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 ID7810355088
PECOS Enrollment IDI20230620002425
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

4

Medicare enrollment records show Rachael Blackmar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mass General Brigham Medical Group Northern Massachusetts Inc
Same address
Emergency Medicine
81 HIGHLAND AVE
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 994 clinicians in this Medicare group
NPI 1588606123 (978) 354-4173
North Shore Medical Center, Inc.
Same address
General Acute Care Hospital
81 HIGHLAND AVE
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 94 clinicians in this Medicare group
NPI 1730121633 (978) 354-2065
Charter Health PC
0.2 mi
Internal Medicine
55 HIGHLAND AVE STE 304
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 83 clinicians in this Medicare group
NPI 1750824124 (978) 354-4611
Charter Ltc LLC
0.2 mi
Internal Medicine
55 HIGHLAND AVE STE 304
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 43 clinicians in this Medicare group
NPI 1861129819 (978) 354-4611

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
812 services56 patients
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235
This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.
35 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services18 patients
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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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 Blackmar's NPI number?

The NPI number for Rachael Blackmar is 1174196893. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Rachael Blackmar located?

Rachael Blackmar practices at 81 Highland Hall, Salem, MA 01970. The listed phone number is (978) 741-2000.

What is Rachael Blackmar's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Rachael Blackmar enrolled in Medicare?

Yes. Rachael Blackmar 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 Rachael Blackmar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Blackmar reassigns Medicare benefits to 4 organizations: Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA), North Shore Medical Center, Inc. (Salem, MA), Charter Health PC (Salem, MA) and Charter Ltc LLC (Salem, 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 Rachael Blackmar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Blackmar accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Rachael Blackmar 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 Blackmar affiliated with any hospitals?

According to CMS data, Rachael Blackmar is affiliated with North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Rachael Blackmar was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.