RACHEL L HAMILTON CNP
NPI 1417344755
Nurse Practitioner - Family in Ontario, OH

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment
90.5/100
CMS Quality Rating
1750 W 4TH ST, ONTARIO, OH 44906(419) 526-8111 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2022, Dec 30, 2020 (2 updates tracked since 2020).

About Rachel L Hamilton Cnp NPPES

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

RACHEL L HAMILTON CNP (NPI 1417344755) is an individual family provider in Ontario, Ohio, licensed in Ohio (17247) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417344755
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL L HAMILTONCredential: CNP
Location Address1750 W 4TH STOntario, OH 44906-1770
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (419) 520-2495
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 24, 2015
Last NPPES UpdateApril 4, 20222 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
NPI 1417344755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · 17247
1750 W 4TH ST, Ontario, OH 44906

Other Identifiers 1

Medicaid0233272OH

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 L Hamilton 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 ID7911211867
PECOS Enrollment IDI20150805008003
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
225 services207 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
41 services39 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
31 services31 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
25 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
24 services24 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.75
Promoting Interoperability100
Improvement Activities40
Cost77.59

Other Providers at the Same Location NPPES 18

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

Physical Therapist
1750 W 4TH ST
ONTARIO, OH 44906
Internal Medicine
1750 W 4TH ST
ONTARIO, OH 44906
Occupational Therapy Assistant
1750 W 4TH ST, MEDCENTRAL HEALTH SYSTEM
MANSFIELD, OH 44906
Nurse Practitioner
1750 W 4TH ST
ONTARIO, OH 44906
Internal Medicine
1750 W 4TH ST
ONTARIO, OH 44906
Nurse Practitioner (Family)
1750 W 4TH ST
ONTARIO, OH 44906
Nurse Practitioner (Family)
1750 W 4TH ST
ONTARIO, OH 44906
Nurse Practitioner (Family)
1750 W 4TH ST
ONTARIO, OH 44906

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 Hamilton's NPI number?

The NPI number for Rachel Hamilton is 1417344755. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Rachel Hamilton located?

Rachel Hamilton practices at 1750 W 4th St, Ontario, OH 44906. The listed phone number is (419) 526-8111.

What is Rachel Hamilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachel Hamilton enrolled in Medicare?

Yes. Rachel Hamilton 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 Hamilton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Rachel Hamilton 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 Hamilton affiliated with any hospitals?

According to CMS data, Rachel Hamilton is affiliated with Mount Carmel East & West and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Hamilton was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.