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RACHEL CRAIG CRNP
NPI 1225516321
Nurse Practitioner - Family in Butler, PA

Active since July 31, 2018PECOS EnrolledAccepts Medicare Assignment
127 ONEIDA VALLEY RD STE 101, BUTLER, PA 16001(724) 968-5355(724) 285-1274 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2019, Jul 31, 2018 (2 updates tracked since 2018).

About Rachel Craig Crnp NPPES

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

RACHEL CRAIG CRNP (NPI 1225516321) is an individual family provider in Butler, Pennsylvania, licensed in Pennsylvania (SP019043) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225516321
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL CRAIGCredential: CRNP
Location Address127 ONEIDA VALLEY RD STE 101Butler, PA 16001-2246
Mailing AddressPo Box 1549Butler, PA 16003-1549 · (724) 284-4060 · Fax (724) 284-4144
Phone(724) 968-5355
Fax(724) 285-1274
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 31, 2018
Last NPPES UpdateMay 8, 20192 updates tracked since enumeration
✔ NPI 1225516321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP019043
127 ONEIDA VALLEY RD STE 101, Butler, PA 16001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Craig 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 ID8921358714
PECOS Enrollment IDI20180828003395
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.

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.
201 services125 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
81 services58 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
69 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390093
LocationOne Hospital DriveClarion, PA 16214 · Clarion County
Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers33 claims124 services$6.07 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers12 claims12 services$309.04 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
2 suppliers25 claims740 services$6.80 avg. paid by Medicare
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
9 suppliers147 claims148 services$178.38 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 3

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

BUTLER MEDICAL PROVIDERS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
127 ONEIDA VALLEY RD STE 101
BUTLER, PA 16001
Butler County (833) 604-7211
MACKENZIE SANTILLO
Nurse Practitioner
127 ONEIDA VALLEY RD STE 101
BUTLER, PA 16001
Butler County (833) 604-7211
CIANA RAE FOGEL PA-C
Physician Assistant
127 ONEIDA VALLEY RD STE 101
BUTLER, PA 16001
Butler County (833) 604-7211

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 Craig's NPI number?

The NPI number for Rachel Craig is 1225516321. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Rachel Craig located?

Rachel Craig practices at 127 Oneida Valley Rd Ste 101, Butler, PA 16001. The listed phone number is (724) 968-5355.

What is Rachel Craig's specialty?

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

Is Rachel Craig enrolled in Medicare?

Yes. Rachel Craig 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 Craig accept?

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

According to CMS data, Rachel Craig is affiliated with Clarion Hospital and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Craig was last updated on May 8, 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.