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

Q: 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.

Q: What is Rachael Balthazore's specialty?

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

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: July 26, 2026.

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

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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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.

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