RACHEL ALLYSON FOX FNP-C
NPI 1376041442
Nurse Practitioner in Bluffton, SC

Q: What is Rachel Fox's NPI number?

The NPI number for Rachel Fox is 1376041442. It was assigned to this individual provider in the NPPES registry on January 24, 2018.

Q: What is Rachel Fox's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rachel Fox was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since January 24, 2018PECOS EnrolledAccepts Medicare Assignment

71.08/100

CMS Quality Rating

64 BLUFFTON RD, BLUFFTON, SC 29910(843) 757-0676(843) 757-0779 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Rachel Allyson Fox Fnp-c NPPES

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

RACHEL ALLYSON FOX FNP-C (NPI 1376041442) is an individual nurse practitioner in Bluffton, South Carolina, licensed in South Carolina (25883A) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376041442

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRACHEL ALLYSON FOXCredential: FNP-C

Location Address64 BLUFFTON RDBluffton, SC 29910-7621

Mailing AddressPo Box 749306Atlanta, GA 30374-9306

Phone(843) 757-0676

Fax(843) 757-0779

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 24, 2018

Last NPPES UpdateOctober 31, 2024

NPPES CertifiedOctober 31, 2024

✔ NPI 1376041442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in SC · 25883A✔ Licensed in NC · 5010198

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.

64 BLUFFTON RD, Bluffton, SC 29910

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Secondary Practice Locations 2

Location 1200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 377-2424 · Fax (704) 377-2687

Location 2501 S Sharon Amity Rd Ste 300Charlotte, NC 28211-0035 · Phone (704) 377-2424 · Fax (704) 377-2687

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Allyson Fox Fnp-c 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 ID6103188602

PECOS Enrollment IDI20220527001834

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.

Medicare Billing Reassignments

Medicare enrollment records show Rachel Fox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sea Pines Circle Immediate Care, LLC

9.0 mi

Urgent Care

2 GREENWOOD DR
Hilton Head, SC 29928

Reassigned Medicare billing, South Carolina enrollment
4 clinicians in this Medicare group

NPI 1275056715 (843) 341-2700

Acs Emergency Physicians Of Sc PC

15 mi

Emergency Medicine

955 RIBAUT RD
Beaufort, SC 29902

Reassigned Medicare billing, South Carolina enrollment
35 clinicians in this Medicare group

NPI 1124355375 (843) 522-5200

Novant Health Urgent Cares LLC

189 mi

Urgent Care

2126 HIGHWAY 81 N
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
133 clinicians in this Medicare group

NPI 1841026382 (999) 999-9999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

110 services103 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

68 services68 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.

62 services56 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.

49 services49 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

35 services35 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

34 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29910 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

71.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.52

Promoting Interoperability

Improvement Activities

Cost

50.6

Other Providers at the Same Location NPPES 10

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

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