RACHEL ANNE LAWRENCE CNP
NPI 1306192968
Nurse Practitioner - Family in Troy, OH

Active since July 31, 2012PECOS EnrolledAccepts Medicare Assignment
88.7/100
CMS Quality Rating
600 W MAIN ST STE 330, TROY, OH 45373(937) 980-7400(937) 980-7409 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, Oct 12, 2016 (2 updates tracked since 2016).

About Rachel Anne Lawrence Cnp NPPES

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

RACHEL ANNE LAWRENCE CNP (NPI 1306192968) is an individual family provider in Troy, Ohio, licensed in Ohio (COA.13695-NP) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains a secondary practice location in New Carlisle.

NPPES Registry Identity

NPI1306192968
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL ANNE LAWRENCECredential: CNP
Location Address600 W MAIN ST STE 330Troy, OH 45373-3384
Mailing Address106 N Main StNew Carlisle, OH 45344-1835 · (937) 667-1122 · Fax (419) 549-5671
Fax(937) 980-7409
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2012
Enumeration DateJuly 31, 2012
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1306192968 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 OH · COA.13695-NP
600 W MAIN ST STE 330, Troy, OH 45373

Secondary Practice Location 1

Location 1106 N Main StNew Carlisle, OH 45344-1835 · Phone (937) 667-1122 · Fax (419) 549-5671

Other Identifiers 1

Medicaid0071558OH

Accepted 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 Anne Lawrence Cnp 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 ID1254581739
PECOS Enrollment IDI20121017000951
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 7

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 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.
153 services116 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.
57 services54 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.
40 services40 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
27 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
21 services17 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.
15 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

88.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.3
Promoting Interoperability100
Improvement Activities40
Cost93.02

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%48 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
61%69 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%75 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
80%41 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Acute Care)
600 W MAIN ST STE 330
TROY, OH 45373
Surgery
600 W MAIN ST STE 330
TROY, OH 45373
Internal Medicine (Cardiovascular Disease)
600 W MAIN ST STE 330
TROY, OH 45373
Family Medicine
600 W MAIN ST STE 330
TROY, OH 45373
Nurse Practitioner (Women's Health)
600 W MAIN ST STE 330
TROY, OH 45373
Nurse Practitioner (Family)
600 W MAIN ST STE 330
TROY, OH 45373
Nurse Practitioner (Family)
600 W MAIN ST STE 330
TROY, OH 45373
Surgery
600 W MAIN ST STE 330
TROY, OH 45373

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 Lawrence's NPI number?

The NPI number for Rachel Lawrence is 1306192968. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Rachel Lawrence located?

Rachel Lawrence practices at 600 W Main St Ste 330, Troy, OH 45373. The listed phone number is (937) 980-7400.

What is Rachel Lawrence's specialty?

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

Is Rachel Lawrence enrolled in Medicare?

Yes. Rachel Lawrence 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 Lawrence accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Rachel Lawrence 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 Rachel Lawrence affiliated with any hospitals?

According to CMS data, Rachel Lawrence is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Upper Valley Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Rachel Lawrence was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.