RACHEL BLACKWELL NP
NPI 1376954198
Nurse Practitioner in Binghamton, NY

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment
169 RIVERSIDE DR, BINGHAMTON, NY 13905(607) 798-5671(888) 241-1404 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2021, Feb 20, 2020 (2 updates tracked since 2020).

About Rachel Blackwell Np NPPES

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

RACHEL BLACKWELL NP (NPI 1376954198) is an individual nurse practitioner in Binghamton, New York, licensed in North Carolina (5013919) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376954198
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL BLACKWELLCredential: NP
Location Address169 RIVERSIDE DRBinghamton, NY 13905-4246
Mailing Address5410 Maryland Way, Suite 300Brentwood, TN 37027-5064 · (615) 577-6352 · Fax (615) 810-8969
Fax(888) 241-1404
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 14, 2014
Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1376954198 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
Licenses Licensed in NC · 5013919 Licensed in NY · 3389681
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 3389681 (NY)
169 RIVERSIDE DR, Binghamton, NY 13905

Other Names 1

Former Name (1)Rachel Laufersweiler Np

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 Blackwell Np 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 ID9931320892
PECOS Enrollment IDI20190925003301
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Urology
169 RIVERSIDE DR, DEPAUL PAVILION
BINGHAMTON, NY 13905

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 Blackwell's NPI number?

The NPI number for Rachel Blackwell is 1376954198. It was assigned to this individual provider in the NPPES registry on May 14, 2014. The provider is also known as Rachel Laufersweiler Np.

Where is Rachel Blackwell located?

Rachel Blackwell practices at 169 Riverside Dr, Binghamton, NY 13905. The listed phone number is (607) 798-5671.

What is Rachel Blackwell's specialty?

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

Is Rachel Blackwell enrolled in Medicare?

Yes. Rachel Blackwell 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 Blackwell accept?

Health plans from UnitedHealthcare list Rachel Blackwell 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 Blackwell affiliated with any hospitals?

According to CMS data, Rachel Blackwell is affiliated with Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Blackwell was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.