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MS. RACHEL MEDRANO PMHNP
NPI 1295515203
Psychiatry & Neurology - Psychiatry in Marlborough, MA

Active since October 05, 2023PECOS EnrolledAccepts Medicare Assignment
225 CEDAR HILL ST, MARLBOROUGH, MA 01752(508) 471-5407 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Rachel Medrano Pmhnp NPPES

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

MS. RACHEL MEDRANO PMHNP (NPI 1295515203) is an individual psychiatry provider in Marlborough, Massachusetts, licensed in Massachusetts (RN2309685) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295515203
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMS. RACHEL MEDRANOCredential: PMHNP
Location Address225 CEDAR HILL STMarlborough, MA 01752-5900
Mailing Address51 Front St Apt A227Cumberland, RI 02864-4847 · (508) 250-7416
Phone(508) 471-5407
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
✔ NPI 1295515203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · RN2309685
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
225 CEDAR HILL ST, Marlborough, MA 01752
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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

Ms. Rachel Medrano Pmhnp 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 ID941645865
PECOS Enrollment IDI20240301002432
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 3

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.
124 services79 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.
108 services85 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
43 services43 patients

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01752 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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 20

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

LORRAINE REDEFRN
Behavior Analyst
225 CEDAR HILL ST
MARLBOROUGH, MA 01752
Middlesex County (877) 418-2978
ELYJAH S HUDSON
Behavior Technician
225 CEDAR HILL ST, SUITE 200
MARLBOROUGH, MA 01752
Middlesex County (877) 418-2978
ALYSSA RENKEWITZ
Behavior Technician
225 CEDAR HILL ST
MARLBOROUGH, MA 01752
Middlesex County (631) 827-9265
JANZA OTTALIS CHAMBERS
Behavior Technician
225 CEDAR HILL ST
MARLBOROUGH, MA 01752
Middlesex County (877) 418-2978
BUTTERFLY EFFECTS
Community/Behavioral Health
225 CEDAR HILL ST
MARLBOROUGH, MA 01752
Middlesex County (877) 418-2978
TAMEKA RASHAWNA DERAMUS
Behavior Technician
225 CEDAR HILL ST
MARLBOROUGH, MA 01752
Middlesex County (513) 375-2797
SANDY IVELY UYEDA
Behavior Technician
225 CEDAR HILL ST
MARLBOROUGH, MA 01752
Middlesex County (888) 329-4535
JULIA ROSE DAVIS
Behavior Technician
225 CEDAR HILL ST
MARLBOROUGH, MA 01752
Middlesex County (508) 630-2140

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 Medrano's NPI number?

The NPI number for Rachel Medrano is 1295515203. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Rachel Medrano located?

Rachel Medrano practices at 225 Cedar Hill St, Marlborough, MA 01752. The listed phone number is (508) 471-5407.

What is Rachel Medrano's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rachel Medrano enrolled in Medicare?

Yes. Rachel Medrano 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 Medrano affiliated with any hospitals?

According to CMS data, Rachel Medrano is affiliated with Umass Memorial Healthalliance Hospitals, Sturdy Memorial Hospital, Umass Memorial Health - Harrington Hospital and Heywood Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Medrano was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.