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DR. RACHEL MARIE PICONE CNP
NPI 1356646970
Nurse Practitioner - Family in Rockport, ME

Active since January 12, 2011PECOS EnrolledAccepts Medicare Assignment
4 GLEN COVE DR # 101, ROCKPORT, ME 04856(207) 301-5678 Get Directions Write a Review

NPPES record last updated: May 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2023, Jul 13, 2021, Aug 23, 2016 (3 updates tracked since 2016).

About Dr. Rachel Marie Picone Cnp NPPES

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

DR. RACHEL MARIE PICONE CNP (NPI 1356646970) is an individual family provider in Rockport, Maine, licensed in Maine (CNP231179) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356646970
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. RACHEL MARIE PICONECredential: CNP
Location Address4 GLEN COVE DR # 101Rockport, ME 04856-4235
Mailing Address4 Glen Cove Dr # 101Rockport, ME 04856-4235 · (207) 301-5678
Phone(207) 301-5678
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 12, 2011
Last NPPES UpdateMay 28, 20233 updates tracked since enumeration
NPPES CertifiedMay 28, 2023
✔ NPI 1356646970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ME · CNP231179✔ Licensed in MA · RN2275150✔ Licensed in OR · 202104115NP-PP
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License CNP231179 (ME), RN2275150 (MA)
4 GLEN COVE DR # 101, Rockport, ME 04856
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Moda Health Plan, Inc..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

Dr. Rachel Marie Picone 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 ID7416197629
PECOS Enrollment IDI20230711002182
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.
104 services64 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.
81 services52 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.
42 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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 Picone's NPI number?

The NPI number for Rachel Picone is 1356646970. It was assigned to this individual provider in the NPPES registry on January 12, 2011.

Where is Rachel Picone located?

Rachel Picone practices at 4 Glen Cove Dr # 101, Rockport, ME 04856. The listed phone number is (207) 301-5678.

What is Rachel Picone's specialty?

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

Is Rachel Picone enrolled in Medicare?

Yes. Rachel Picone 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 Picone accept?

Health plans from Harvard Pilgrim Health Care and Moda Health Plan, Inc. list Rachel Picone 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 Picone affiliated with any hospitals?

According to CMS data, Rachel Picone is affiliated with Penobscot Bay Medical Center and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Picone was last updated on May 28, 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.