VERA RATHJE ANP
NPI 1376974865
Nurse Practitioner - Adult Health in Oswego, NY

Q: What is Vera Rathje's NPI number?

The NPI number for Vera Rathje is 1376974865. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Q: What is Vera Rathje's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Vera Rathje was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 09, 2013PECOS EnrolledAccepts Medicare Assignment

105 COUNTY ROUTE 45A, SUITE 400, OSWEGO, NY 13126(315) 312-0089(315) 312-0110 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, Jan 15, 2026, Feb 24, 2016 (3 updates tracked since 2016).

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About Vera Rathje Anp NPPES

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

VERA RATHJE ANP (NPI 1376974865) is an individual adult health provider in Oswego, New York, licensed in New York (F306700) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376974865

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameVERA RATHJECredential: ANP

Location Address105 COUNTY ROUTE 45A, SUITE 400Oswego, NY 13126-6673

Mailing Address5100 W Taft Rd Ste 2gLiverpool, NY 13088-4841 · (315) 312-0089 · Fax (315) 312-0110

Phone(315) 312-0089

Fax(315) 312-0110

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 9, 2013

Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1376974865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F306700

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5011000 (NC)

105 COUNTY ROUTE 45A, Oswego, NY 13126

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Secondary Practice Locations 2

Location 1101 Robeson St Ste 202Fayetteville, NC 28301-5520 · Phone (910) 615-1630

Location 26201 Raeford RdFayetteville, NC 28304-2425 · Phone (910) 609-3780

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Vera Rathje Anp 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 ID4385869767

PECOS Enrollment IDI20181128002147

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 Vera Rathje reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Loretto Health And Rehabilitation Center

31 mi

Skilled Nursing Facility

700 E BRIGHTON AVE
Syracuse, NY 13205

Reassigned Medicare billing, New York enrollment
19 clinicians in this Medicare group

NPI 1588650873 (315) 469-5570

Cape Fear Valley Health Medical Group LLC

556 mi

Family Medicine

1535 N RALEIGH ST
Angier, NC 27501

Reassigned Medicare billing, North Carolina enrollment
411 clinicians in this Medicare group

NPI 1548054950 (919) 331-2477

Cumberland County Hospital System Inc

570 mi

Surgery

803 TILGHMAN DR STE 200
Dunn, NC 28334

Reassigned Medicare billing, North Carolina enrollment
906 clinicians in this Medicare group

NPI 1417355629 (910) 892-1550

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

130 services61 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

71 services44 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

61 services26 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.

60 services47 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

43 services36 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

38 services36 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

29 services16 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

25 services22 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

21 services15 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.

19 services17 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340028

Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers18 claims18 services$60.51 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$17.69 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers30 claims30 services$105.99 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier17 claims17 services$35.94 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 7

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

MR. COLIN CONISKI PA-C

Physician Assistant (Surgical)

105 COUNTY ROUTE 45A
OSWEGO, NY 13126

Oswego County (315) 312-0089

RAYEES NIZAM MD

Internal Medicine (Gastroenterology)

105 COUNTY ROUTE 45A
OSWEGO, NY 13126

Oswego County (315) 312-0089

DIGESTIVE DISEASE MEDICINE OF OSWEGO COUNTY,PLLC

Specialist

105 COUNTY ROUTE 45A, SUITE 400
OSWEGO, NY 13126

Oswego County (315) 312-0089

UNIVERSITY HILL GASTROENTEROLOGY ASSOCIATES, P.C.

Specialist

105 COUNTY ROUTE 45A, SUITE 400
OSWEGO, NY 13126

Oswego County (315) 312-0089

DR. AJOY KUMAR ROY M.D.

Specialist

105 COUNTY ROUTE 45A, SUITE 400
OSWEGO, NY 13126

Oswego County (315) 312-0089

ELIZABETH A GARDNER

Social Worker

105 COUNTY ROUTE 45A, SUITE 300
OSWEGO, NY 13126

Oswego County (315) 326-0157

DR. DIVEY MANOCHA MD

Internal Medicine (Gastroenterology)

105 COUNTY ROUTE 45A
OSWEGO, NY 13126

Oswego County (315) 312-0089

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 Vera Rathje's NPI number?

The NPI number for Vera Rathje is 1376974865. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Where is Vera Rathje located?

Vera Rathje practices at 105 County Route 45A Suite 400, Oswego, NY 13126. The listed phone number is (315) 312-0089.

What is Vera Rathje's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Vera Rathje enrolled in Medicare?

Yes. Vera Rathje 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.

Which organizations bill Medicare for Vera Rathje's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vera Rathje reassigns Medicare benefits to 3 organizations: Loretto Health And Rehabilitation Center (Syracuse, NY), Cape Fear Valley Health Medical Group LLC (Angier, NC) and Cumberland County Hospital System Inc (Dunn, NC). Each 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 Vera Rathje's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vera Rathje accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer list Vera Rathje 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 Vera Rathje affiliated with any hospitals?

According to CMS data, Vera Rathje is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Vera Rathje was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.