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RACHAEL BALTHAZORE ACNPC-AG
NPI 1386336790
Nurse Practitioner in Chicago, IL

Active since May 24, 2023PECOS Enrolled
676 N SAINT CLAIR ST STE 2140, CHICAGO, IL 60611(312) 695-3800(312) 695-3644 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2025, May 24, 2023 (2 updates tracked since 2023).

About Rachael Balthazore Acnpc-ag NPPES

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

RACHAEL BALTHAZORE ACNPC-AG (NPI 1386336790) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209027881) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1386336790
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHAEL BALTHAZORECredential: ACNPC-AG
Location Address676 N SAINT CLAIR ST STE 2140Chicago, IL 60611-3143
Mailing Address676 N Saint Clair St Ste 2140Chicago, IL 60611-3143 · (312) 695-3800 · Fax (312) 695-3644
Phone(312) 695-3800
Fax(312) 695-3644
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 24, 2023
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1386336790 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 IL · 209027881
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 · Acute CareTaxonomy 363LA2100X · License 041449506 (IL)
676 N SAINT CLAIR ST STE 2140, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 15841 S MARYLAND AVEChicago, IL 60637-1443 · Phone (888) 824-0200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael Balthazore Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416319785
PECOS Enrollment IDI20230817003929
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

2

Medicare enrollment records show Rachael Balthazore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
30 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
30 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

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

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

BUKURIJE ALIJOSKI APRN-CNP
Nurse Practitioner
676 N SAINT CLAIR ST STE 2140
CHICAGO, IL 60611
Cook County (312) 664-5400
EMILY SAHA
Physician Assistant
676 N SAINT CLAIR ST STE 2140
CHICAGO, IL 60611
Cook County (312) 472-1234
MS. JACLYN DANIELLE ZASAITIS DNP, AGACNP-BC
Nurse Practitioner
676 N SAINT CLAIR ST STE 2140
CHICAGO, IL 60611
Cook County (312) 695-1800
MRS. ROSE MCCLURE DWYER APRN, CNP
Nurse Practitioner
676 N SAINT CLAIR ST STE 2140
CHICAGO, IL 60611
Cook County (312) 695-3800
LAURA BALLSCHMIEDE
Nurse Practitioner (Acute Care)
676 N SAINT CLAIR ST STE 2140
CHICAGO, IL 60611
Cook County (312) 695-0990
DR. ABIGAIL L FORD APRN, CNP
Nurse Practitioner
676 N SAINT CLAIR ST STE 2140
CHICAGO, IL 60611
Cook County (312) 695-3800
BRIANA MARIE BOYLE PA-C
Physician Assistant
676 N SAINT CLAIR ST STE 2140
CHICAGO, IL 60611
Cook County (312) 695-3800
MS. YURIKO YAGI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
676 N SAINT CLAIR ST STE 2140
CHICAGO, IL 60611
Cook County (312) 695-1800

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 Balthazore's NPI number?

The NPI number for Rachael Balthazore is 1386336790. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Rachael Balthazore located?

Rachael Balthazore practices at 676 N Saint Clair St Ste 2140, Chicago, IL 60611. The listed phone number is (312) 695-3800.

What is Rachael Balthazore's specialty?

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

Is Rachael Balthazore enrolled in Medicare?

Yes. Rachael Balthazore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachael Balthazore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Balthazore reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). 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 Rachael Balthazore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Balthazore accept?

Health plans from Oscar Health list Rachael Balthazore 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 Balthazore affiliated with any hospitals?

According to CMS data, Rachael Balthazore is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rachael Balthazore was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.