1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Nurse Practitioner
  6. NPI Profile

RACHAEL MENIUS BURGESS MSN, CPNP-AC, CPON
NPI 1174963136
Nurse Practitioner - Pediatrics in Portland, ME

Active since July 04, 2013PECOS Enrolled
98.06/100
CMS Quality Rating
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-3500 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2019, Jun 16, 2016 (2 updates tracked since 2016).

About Rachael Menius Burgess Msn, Cpnp-ac, Cpon NPPES

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

RACHAEL MENIUS BURGESS MSN, CPNP-AC, CPON (NPI 1174963136) is an individual pediatrics provider in Portland, Maine, licensed in Maine (CNP191176) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1174963136
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameRACHAEL MENIUS BURGESSCredential: MSN, CPNP-AC, CPON
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-3500
Phone(207) 662-3500
Sole ProprietorNo
Enumeration DateJuly 4, 2013
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
✔ NPI 1174963136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in ME · CNP191176✔ Licensed in MA · RN2281692
Also ListedRegistered NurseTaxonomy 163W00000X · License RN632009 (PA), RN2281692 (MA)
22 BRAMHALL ST, Portland, ME 04102
Open in Google Maps ↗

Secondary Practice Location 1

Location 1450 Brookline Ave, D-2078Boston, MA 02215-5418 · Phone (617) 632-5436

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael Menius Burgess Msn, Cpnp-ac, Cpon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Rachael Burgess reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maine Medical Partners
Same address
Hospitalist
22 BRAMHALL ST, PAVILLION 1203
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 192 clinicians in this Medicare group
NPI 1942315361 (207) 662-4618
Mainehealth
Same address
Infectious Disease
22 BRAMHALL ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1073701157 (207) 662-3067

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Burgess's NPI number?

The NPI number for Rachael Burgess is 1174963136. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Where is Rachael Burgess located?

Rachael Burgess practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-3500.

What is Rachael Burgess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Rachael Burgess enrolled in Medicare?

Yes. Rachael Burgess is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachael Burgess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Burgess reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Portland, ME) and Mainehealth (Portland, ME). 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 Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rachael Burgess was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.