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RACHEL KARCHNER NP
NPI 1215188990
Nurse Practitioner in Toledo, OH

Active since October 01, 2008PECOS EnrolledAccepts Medicare Assignment
2109 HUGHES DR STE 760, TOLEDO, OH 43606(419) 291-7555(419) 479-2696 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rachel Karchner Np NPPES

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

RACHEL KARCHNER NP (NPI 1215188990) is an individual nurse practitioner in Toledo, Ohio, licensed in Ohio (NP.101895) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1215188990
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL KARCHNERCredential: NP
Location Address2109 HUGHES DR STE 760Toledo, OH 43606-5111
Mailing Address1 Seagate Ste 800Toledo, OH 43604-1558 · (419) 291-7555 · Fax (419) 479-2696
Phone(419) 291-7555
Fax(419) 479-2696
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 1, 2008
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1215188990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · NP.101895
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2109 HUGHES DR STE 760, Toledo, OH 43606
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Secondary Practice Location 1

Location 1553 E Manhattan BlvdToledo, OH 43608-1216 · Phone (419) 219-7001 · Fax (567) 316-6462

Other Identifiers 3

Medicaid1215188990MI
OtherH045312OH · Medicare Pin
Medicaid2892820OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Rachel Karchner Np 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 ID2163581778
PECOS Enrollment IDI20081111000237
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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
131 services127 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
113 services111 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services49 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
44 services44 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

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

LISA BAINTER APRN-NPC
Nurse Practitioner (Family)
2109 HUGHES DR STE 760
TOLEDO, OH 43606
Lucas County (419) 291-7555
ERIKA MANIS M.D.
Psychiatry & Neurology (Sleep Medicine)
2109 HUGHES DR STE 760
TOLEDO, OH 43606
Lucas County (419) 291-7555
TAMER SAID AHMED MD
Internal Medicine (Pulmonary Disease)
2109 HUGHES DR STE 760
TOLEDO, OH 43606
Lucas County (419) 291-7555

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 Karchner's NPI number?

The NPI number for Rachel Karchner is 1215188990. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Rachel Karchner located?

Rachel Karchner practices at 2109 Hughes Dr Ste 760, Toledo, OH 43606. The listed phone number is (419) 291-7555.

What is Rachel Karchner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachel Karchner enrolled in Medicare?

Yes. Rachel Karchner 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 Rachel Karchner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Rachel Karchner 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 Karchner affiliated with any hospitals?

According to CMS data, Rachel Karchner is affiliated with Mercy St Vincent Medical Center, Memorial Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Karchner was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.