RACHAEL LOUISE SIMS
NPI 1255141545
Nurse Practitioner - Pediatrics in Charleston, SC
About Rachael Louise Sims NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHAEL LOUISE SIMS (NPI 1255141545) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (APN.29738) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rachael Louise Sims is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rachael Sims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
- 2,594 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLESTON, SC 29425
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 Sims's NPI number?
The NPI number for Rachael Sims is 1255141545. It was assigned to this individual provider in the NPPES registry on January 9, 2025.
Where is Rachael Sims located?
Rachael Sims practices at 135 Rutledge Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Rachael Sims's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Rachael Sims enrolled in Medicare?
Yes. Rachael Sims is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rachael Sims's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Sims reassigns Medicare benefits to University Medical Associates (Charleston, SC). 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 Rachael Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachael Sims accept?
Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Rachael Sims 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.
When was this NPI record last updated?
The NPPES record for Rachael Sims was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Rachael Louise Sims · NPI 1255141545
Pediatrics physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since January 9, 2025.
## Identity
- **NPI:** 1255141545 (Entity type: Individual)
- **Enumerated:** January 9, 2025
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APN.29738 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 135 RUTLEDGE AVE, Charleston, SC 29425-8903
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Medical Associates (NPI 1548413453, Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255141545) · Data from the CMS NPPES public registry.