RACHEL WIESE JONES MD
NPI 1376515502
Pediatrics in Matthews, NC
About Rachel Wiese Jones Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL WIESE JONES MD (NPI 1376515502) is an individual pediatrics provider in Matthews, North Carolina, licensed in North Carolina (9700425) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rachel Wiese Jones Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rachel Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Matthews, NC 28105
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jones's NPI number?
The NPI number for Rachel Jones is 1376515502. It was assigned to this individual provider in the NPPES registry on February 2, 2006.
Where is Rachel Jones located?
Rachel Jones practices at 332 N Trade St Ste 1500, Matthews, NC 28105. The listed phone number is (704) 512-6820.
What is Rachel Jones's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Rachel Jones enrolled in Medicare?
Yes. Rachel Jones is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rachel Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Jones reassigns Medicare benefits to Carolinas Physicians Network Inc (Matthews, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel Jones accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Rachel Jones 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.
When was this NPI record last updated?
The NPPES record for Rachel Jones was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Rachel Wiese Jones, MD · NPI 1376515502
Pediatrics physician in Matthews, North Carolina. Individual provider, active in the CMS NPPES registry since February 2, 2006.
## Identity
- **NPI:** 1376515502 (Entity type: Individual)
- **Enumerated:** February 2, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 9700425 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 332 N TRADE ST, STE 1500, Matthews, NC 28105-1728
- **Phone:** (704) 512-6820
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carolinas Physicians Network Inc (NPI 1700079225, Matthews, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376515502) · Data from the CMS NPPES public registry.