ADDISON ANN RAUCH CNP
NPI 1407629520
Nurse Practitioner - Women's Health in Albuquerque, NM

Active since October 31, 2023PECOS EnrolledAccepts Medicare Assignment
4640 JEFFERSON LN NE, ALBUQUERQUE, NM 87109(505) 843-6168 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2023, Oct 31, 2023 (2 updates tracked since 2023).

About Addison Ann Rauch Cnp NPPES

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

ADDISON ANN RAUCH CNP (NPI 1407629520) is an individual women's health provider in Albuquerque, New Mexico, licensed in New Mexico (70297) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407629520
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameADDISON ANN RAUCHCredential: CNP
Location Address4640 JEFFERSON LN NEAlbuquerque, NM 87109-2127
Mailing Address6320 Riverside Plaza Ln Nw Ste BAlbuquerque, NM 87120-1710 · (505) 843-6168 · Fax (505) 792-1978
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 31, 2023
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1407629520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in NM · 70297
4640 JEFFERSON LN NE, Albuquerque, NM 87109

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

Addison Ann Rauch Cnp 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 ID9931556230
PECOS Enrollment IDI20231108000791
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Advanced Practice Midwife
4640 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Advanced Practice Midwife
4640 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology
4640 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Advanced Practice Midwife
4640 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology
4640 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Women's Health)
4640 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Advanced Practice Midwife
4640 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology (Obstetrics)
4640 JEFFERSON LN NE
ALBUQUERQUE, NM 87109

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 Addison Rauch's NPI number?

The NPI number for Addison Rauch is 1407629520. It was assigned to this individual provider in the NPPES registry on October 31, 2023.

Where is Addison Rauch located?

Addison Rauch practices at 4640 Jefferson Ln NE, Albuquerque, NM 87109. The listed phone number is (505) 843-6168.

What is Addison Rauch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Addison Rauch enrolled in Medicare?

Yes. Addison Rauch 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 Addison Rauch accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and UnitedHealthcare list Addison Rauch 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 Addison Rauch affiliated with any hospitals?

According to CMS data, Addison Rauch is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Addison Rauch was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.