MRS. RACHEL M. SWEENEY C.R.N.P.
NPI 1265424055
Nurse Practitioner - Family in Arnold, MD

Q: What is Rachel Sweeney's NPI number?

The NPI number for Rachel Sweeney is 1265424055. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Rachel Sweeney's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rachel Sweeney was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment

89.42/100

CMS Quality Rating

1509 RITCHIE HWY, ARNOLD, MD 21012(410) 757-7600(410) 626-8043 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Rachel M. Sweeney C.r.n.p. NPPES

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

MRS. RACHEL M. SWEENEY C.R.N.P. (NPI 1265424055) is an individual family provider in Arnold, Maryland, licensed in Maryland (R127373) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and is a graduate of Marymount University (1997).

NPPES Registry Identity

NPI1265424055

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. RACHEL M. SWEENEYCredential: C.R.N.P.

Location Address1509 RITCHIE HWYArnold, MD 21012-2742

Mailing Address1111 Benfield Blvd, Ste 200Millersville, MD 21108-3002 · (410) 729-8100

Phone(410) 757-7600

Fax(410) 626-8043

Sole ProprietorNo

Medical School CMSMarymount UniversityGraduated 1997

Enumeration DateAugust 17, 2005

Last NPPES UpdateJanuary 24, 2011

✔ NPI 1265424055 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 MD · R127373

1509 RITCHIE HWY, Arnold, MD 21012

Open in Google Maps ↗

Other Identifiers 9

Other38282MD · Jhhc Provider Number

Other617094-01MD · Carefirst Md Rendering

Medicare PIN226LD739MD

Other7605-0037MD · Carefirst Bluechoice

Other500006588MD · Railroad Medicare

Other7149758MD · Aetna Ppo

Medicaid658804200MD

Medicare UPINS78286

Other6284608MD · Aetna Hmo

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

Mrs. Rachel M. Sweeney C.r.n.p. 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 ID6901810357

PECOS Enrollment IDI20060206000854

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 28

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 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.

317 services176 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

312 services184 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

231 services169 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

191 services154 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

153 services134 patients

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.

139 services95 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

133 services133 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.

76 services50 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

70 services60 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

60 services40 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

41 services41 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

40 services32 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

40 services33 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

39 services39 patients

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.

38 services38 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

35 services30 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

35 services34 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

26 services24 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

24 services20 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

17 services16 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

16 services15 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

16 services15 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

14 services14 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

13 services12 patients

Prostate cancer screening; prostate specific antigen test (psa) G0103

Prostate cancer screening involves a simple blood test known as the Prostate Specific Antigen (PSA) test. This test measures the level of PSA in your blood. Higher than normal levels can be an early indication of prostate issues, including cancer. It's a key tool in early detection.

13 services13 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

12 services11 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

12 services11 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210023

Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21012 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

89.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.38

Promoting Interoperability

100

Improvement Activities

Cost

76.36

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.

VICTORIA BURDEN

Physician Assistant

1509 RITCHIE HWY
ARNOLD, MD 21012

Anne Arundel County (410) 757-7600

MARYLAND PRIMARY CARE PHYSICIANS, LLC

Clinic/Center (Primary Care)

1509 RITCHIE HWY
ARNOLD, MD 21012

Anne Arundel County (410) 757-7600

DR. JOHN A. BILLON MD

Family Medicine

1509 RITCHIE HWY
ARNOLD, MD 21012

Anne Arundel County (410) 757-7600

DR. VICTOR M. PLAVNER M.D.

Family Medicine

1509 RITCHIE HWY
ARNOLD, MD 21012

Anne Arundel County (410) 757-7600

MRS. OLIVIA L COOK FNP-BC

Family Medicine

1509 RITCHIE HWY
ARNOLD, MD 21012

Anne Arundel County (410) 757-7600

ANTHONY B WOLFF PHD, LP

Psychologist

1509 RITCHIE HWY, SUITE F
ARNOLD, MD 21012

Anne Arundel County (410) 757-2077

MS. MARY ANN GARDINER C.R.N.P

Nurse Practitioner (Family)

1509 RITCHIE HWY
ARNOLD, MD 21012

Anne Arundel County (410) 757-7600

ANGELICA SHIELS PSYD

Psychologist (Clinical)

1509 RITCHIE HWY, F
ARNOLD, MD 21012

Anne Arundel County (410) 757-2077

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 Sweeney's NPI number?

The NPI number for Rachel Sweeney is 1265424055. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Rachel Sweeney located?

Rachel Sweeney practices at 1509 Ritchie Hwy, Arnold, MD 21012. The listed phone number is (410) 757-7600.

What is Rachel Sweeney's specialty?

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

Is Rachel Sweeney enrolled in Medicare?

Yes. Rachel Sweeney 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 Sweeney affiliated with any hospitals?

According to CMS data, Rachel Sweeney is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Rachel Sweeney was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.