RACHEAL KOREDE
NPI 1295037380
Nurse Practitioner - Psychiatric/Mental Health in Santa Clara, CA

Q: What is Racheal Korede's NPI number?

The NPI number for Racheal Korede is 1295037380. It was assigned to this individual provider in the NPPES registry on November 23, 2010.

Q: What is Racheal Korede's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Racheal Korede was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 23, 2010PECOS Enrolled

5201 GREAT AMERICA PKWY, SANTA CLARA, CA 95054(646) 201-8959(631) 615-6081 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2026, Jun 22, 2025, Nov 13, 2020 and 1 more (4 updates tracked since 2020).

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About Racheal Korede NPPES

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

RACHEAL KOREDE (NPI 1295037380) is an individual psychiatric/mental health provider in Santa Clara, California, licensed in California (95037990) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Babylon.

NPPES Registry Identity

NPI1295037380

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameRACHEAL KOREDE

Location Address5201 GREAT AMERICA PKWYSanta Clara, CA 95054-1122

Mailing Address1 Farmingdale Road, Building 1West Babylon, NY 11704 · (631) 321-8229

Phone(646) 201-8959

Fax(631) 615-6081

Sole ProprietorNo

Enumeration DateNovember 23, 2010

Last NPPES UpdateJune 10, 20264 updates tracked since enumeration

NPPES CertifiedJune 10, 2026

✔ NPI 1295037380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95037990✔ Licensed in OR · 10035974✔ Licensed in NY · 407033✔ Licensed in TX · 106080✔ Licensed in WA · AP70022172

Also ListedRegistered NurseTaxonomy 163W00000X · License 768437-1 (NY)

5201 GREAT AMERICA PKWY, Santa Clara, CA 95054

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Secondary Practice Location 1

Location 11 Farmingdale Road, building 1West babylon, NY 11704 · Phone (631) 321-8229

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Racheal Korede is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95054 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

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