RACHEL NORUM NP
NPI 1225505845
Nurse Practitioner - Adult Health in Newport News, VA

Active since November 01, 2018PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1000 OLD DENBIGH BLVD STE 1020A, NEWPORT NEWS, VA 23602(757) 875-2009(757) 369-1042 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2018, Nov 1, 2018 (2 updates tracked since 2018).

About Rachel Norum Np NPPES

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

RACHEL NORUM NP (NPI 1225505845) is an individual adult health provider in Newport News, Virginia, licensed in Virginia (0001209787) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225505845
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRACHEL NORUMCredential: NP
Location Address1000 OLD DENBIGH BLVD STE 1020ANewport News, VA 23602-2017
Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800 · Fax (757) 534-5190
Fax(757) 369-1042
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 1, 2018
Last NPPES UpdateNovember 26, 20182 updates tracked since enumeration
NPI 1225505845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in VA · 0001209787
1000 OLD DENBIGH BLVD STE 1020A, Newport News, VA 23602

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 Norum 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 ID5799021200
PECOS Enrollment IDI20190103002580
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 13

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
86 services77 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services41 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.
45 services44 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
40 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services21 patients
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.
35 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23602 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$17.45 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$7.63 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier18 claims18 services$130.75 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 11

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

Internal Medicine (Geriatric Medicine)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Nurse Practitioner (Gerontology)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Nurse Practitioner (Family)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Family Medicine (Geriatric Medicine)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Internal Medicine
1000 OLD DENBIGH BLVD STE 1020A, RIVERSIDE LIFELONG HEALTH & AGING SERVICES
NEWPORT NEWS, VA 23602
Internal Medicine (Hospice and Palliative Medicine)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Internal Medicine
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Nurse Practitioner (Family)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602

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 Norum's NPI number?

The NPI number for Rachel Norum is 1225505845. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Where is Rachel Norum located?

Rachel Norum practices at 1000 Old Denbigh Blvd Ste 1020A, Newport News, VA 23602. The listed phone number is (757) 875-2009.

What is Rachel Norum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Rachel Norum enrolled in Medicare?

Yes. Rachel Norum 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.

Is Rachel Norum affiliated with any hospitals?

According to CMS data, Rachel Norum is affiliated with Riverside Regional Medical Center and Riverside Walter Reed Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Norum was last updated on November 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.