Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RACHAEL M GOURLEY APRN-CNP
NPI 1366899312
Nurse Practitioner in Powell, OH

Active since May 19, 2016PECOS Enrolled
95.31/100
CMS Quality Rating
7171 SAWMILL PKWY STE 4A, POWELL, OH 43065(614) 293-4040(614) 293-3277 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Jan 6, 2021, Apr 12, 2017 and 2 more (5 updates tracked since 2016).

About Rachael M Gourley Aprn-cnp NPPES

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

RACHAEL M GOURLEY APRN-CNP (NPI 1366899312) is an individual nurse practitioner in Powell, Ohio, licensed in Ohio (APRN.CNP.19195) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Ohio State University College Of Medicine (2016).

NPPES Registry Identity

NPI1366899312
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHAEL M GOURLEYCredential: APRN-CNP
Location Address7171 SAWMILL PKWY STE 4APowell, OH 43065-7828
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4040 · Fax (614) 293-3277
Fax(614) 293-3277
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2016
Enumeration DateMay 19, 2016
Last NPPES UpdateJuly 15, 20265 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1366899312 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
License Licensed in OH · APRN.CNP.19195
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 APRN.CNP.19195 (OH)
7171 SAWMILL PKWY STE 4A, Powell, OH 43065

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

Rachael M Gourley Aprn-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 ID3072807841
PECOS Enrollment IDI20160802003304
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 2

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.
241 services206 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43065 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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Colon & Rectal Surgery
7171 SAWMILL PKWY STE 4A
POWELL, OH 43065
Nurse Practitioner
7171 SAWMILL PKWY STE 4A
POWELL, OH 43065
Nurse Practitioner
7171 SAWMILL PKWY STE 4A
POWELL, OH 43065
Nurse Practitioner (Primary Care)
7171 SAWMILL PKWY STE 4A
POWELL, OH 43065

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 Rachael Gourley's NPI number?

The NPI number for Rachael Gourley is 1366899312. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Rachael Gourley located?

Rachael Gourley practices at 7171 Sawmill Pkwy Ste 4A, Powell, OH 43065. The listed phone number is (614) 293-4040.

What is Rachael Gourley's specialty?

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

Is Rachael Gourley enrolled in Medicare?

Yes. Rachael Gourley 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 Rachael Gourley accept?

Health plans from CareSource list Rachael Gourley 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 Rachael Gourley affiliated with any hospitals?

According to CMS data, Rachael Gourley is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Rachael Gourley was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.