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RACHEL TOUGHER ARNP
NPI 1285141846
Nurse Practitioner - Family in Hendersonville, TN

Active since January 04, 2018PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
100 GLEN OAK BLVD, HENDERSONVILLE, TN 37075(615) 826-3573(615) 826-3577 Get Directions Write a Review

NPPES record last updated: June 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2023, Jul 21, 2021 (2 updates tracked since 2021).

About Rachel Tougher Arnp NPPES

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

RACHEL TOUGHER ARNP (NPI 1285141846) is an individual family provider in Hendersonville, Tennessee, licensed in Tennessee (29656) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285141846
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL TOUGHERCredential: ARNP
Location Address100 GLEN OAK BLVDHendersonville, TN 37075-3025
Mailing Address100 Glen Oak BlvdHendersonville, TN 37075-3025 · (615) 826-3573 · Fax (615) 826-3577
Phone(615) 826-3573
Fax(615) 826-3577
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 4, 2018
Last NPPES UpdateJune 24, 20232 updates tracked since enumeration
NPPES CertifiedJune 24, 2023
✔ NPI 1285141846 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
Licenses✔ Licensed in TN · 29656✔ Licensed in FL · ARNP9343374
100 GLEN OAK BLVD, Hendersonville, TN 37075
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 Tougher Arnp 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 ID749539476
PECOS Enrollment IDI20211018001842
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 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.
34 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services12 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.
12 services12 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.67
Improvement Activities40
Cost94.58

Other Providers at the Same Location NPPES 4

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

ERIK LEAMON BLEMKER PHARMD
Pharmacist
100 GLEN OAK BLVD
HENDERSONVILLE, TN 37075
Sumner County (615) 826-3573
MRS. RACHAEL WADE PHARMD
Pharmacist
100 GLEN OAK BLVD
HENDERSONVILLE, TN 37075
Sumner County (615) 826-3573
NEETHA GEORGE
Nurse Practitioner (Family)
100 GLEN OAK BLVD
HENDERSONVILLE, TN 37075
Sumner County (866) 389-2727
STANTON CALVARESE II NP-C
Nurse Practitioner (Family)
100 GLEN OAK BLVD
HENDERSONVILLE, TN 37075
Sumner County (352) 214-7290

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 Tougher's NPI number?

The NPI number for Rachel Tougher is 1285141846. It was assigned to this individual provider in the NPPES registry on January 4, 2018.

Where is Rachel Tougher located?

Rachel Tougher practices at 100 Glen Oak Blvd, Hendersonville, TN 37075. The listed phone number is (615) 826-3573.

What is Rachel Tougher's specialty?

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

Is Rachel Tougher enrolled in Medicare?

Yes. Rachel Tougher 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 Tougher accept?

Health plans from BlueCross BlueShield of Tennessee list Rachel Tougher 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 Rachel Tougher was last updated on June 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.