RACHEL HANSEN MD
NPI 1245687425
Family Medicine in Byron, IL
About Rachel Hansen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL HANSEN MD (NPI 1245687425) is an individual family medicine provider in Byron, Illinois, licensed in Illinois (036150946) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and maintains a secondary practice location in Rockford.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Rachel Hansen Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Rachel Hansen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Byron, IL 61010
- Reassigned Medicare billing, Illinois enrollment
- 474 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uw Health
Acute Care Hospitals · Rockford, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hansen's NPI number?
The NPI number for Rachel Hansen is 1245687425. It was assigned to this individual provider in the NPPES registry on May 18, 2016.
Where is Rachel Hansen located?
Rachel Hansen practices at 230 W Blackhawk Dr, Byron, IL 61010. The listed phone number is (779) 696-1300.
What is Rachel Hansen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rachel Hansen enrolled in Medicare?
Yes. Rachel Hansen 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 organization bills Medicare for Rachel Hansen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Hansen reassigns Medicare benefits to Swedishamerican Hospital (Byron, IL). The 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 Rachel Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel Hansen accept?
Health plans from Aspirus Health Plan and Quartz list Rachel Hansen 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 Hansen affiliated with any hospitals?
According to CMS data, Rachel Hansen is affiliated with Uw Health.
When was this NPI record last updated?
The NPPES record for Rachel Hansen was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Rachel Hansen, MD · NPI 1245687425
Family Medicine physician in Byron, Illinois. Individual provider, active in the CMS NPPES registry since May 18, 2016.
## Identity
- **NPI:** 1245687425 (Entity type: Individual)
- **Enumerated:** May 18, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036150946 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 230 W BLACKHAWK DR, Byron, IL 61010-8988
- **Phone:** (779) 696-1300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Swedishamerican Hospital (NPI 1225199961, Byron, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern Illinois University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** March 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1245687425) · Data from the CMS NPPES public registry.