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RACHELLE BARTHELEMY ARNP
NPI 1285173278
Nurse Practitioner in Barboursville, WV

Active since February 23, 2017PECOS EnrolledAccepts Medicare Assignment
659 CENTRAL AVE, BARBOURSVILLE, WV 25504(304) 736-5247(304) 736-7367 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, Jul 21, 2022, Jun 6, 2017 and 1 more (4 updates tracked since 2017).

About Rachelle Barthelemy Arnp NPPES

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

RACHELLE BARTHELEMY ARNP (NPI 1285173278) is an individual nurse practitioner in Barboursville, West Virginia, licensed in West Virginia (110212) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285173278
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHELLE BARTHELEMYCredential: ARNP
Location Address659 CENTRAL AVEBarboursville, WV 25504-1313
Mailing Address1448 10th Ave Ste 304Huntington, WV 25701-3579 · (304) 691-8722
Phone(304) 736-5247
Fax(304) 736-7367
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 23, 2017
Last NPPES UpdateAugust 4, 20224 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1285173278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in WV · 110212✔ Licensed in FL · ARNP9313817
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP9313817 (FL)
659 CENTRAL AVE, Barboursville, WV 25504
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Other Identifiers 1

Medicaid020428700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Rachelle Barthelemy 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 ID2163709049
PECOS Enrollment IDI20250203002031
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.
57 services44 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.
41 services29 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.
19 services18 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.
15 services15 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25504 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

DR. RICHARD ASHER SEXTON M.D.
Family Medicine
659 CENTRAL AVE
BARBOURSVILLE, WV 25504
Cabell County (304) 736-5247
CYNTHIA A WINGER MD
Family Medicine (Geriatric Medicine)
659 CENTRAL AVE
BARBOURSVILLE, WV 25504
Cabell County (304) 736-5247
ERIKA M HARRIS MD
Family Medicine
659 CENTRAL AVE
BARBOURSVILLE, WV 25504
Cabell County (304) 736-5247

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 Rachelle Barthelemy's NPI number?

The NPI number for Rachelle Barthelemy is 1285173278. It was assigned to this individual provider in the NPPES registry on February 23, 2017.

Where is Rachelle Barthelemy located?

Rachelle Barthelemy practices at 659 Central Ave, Barboursville, WV 25504. The listed phone number is (304) 736-5247.

What is Rachelle Barthelemy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachelle Barthelemy enrolled in Medicare?

Yes. Rachelle Barthelemy 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 Rachelle Barthelemy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Rachelle Barthelemy 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 Rachelle Barthelemy affiliated with any hospitals?

According to CMS data, Rachelle Barthelemy is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Rachelle Barthelemy was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.