RACHEL L HAMILTON APRN-CNP
NPI 1417344755
Nurse Practitioner in Ontario, OH
About Rachel L Hamilton Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL L HAMILTON APRN-CNP (NPI 1417344755) is an individual nurse practitioner in Ontario, Ohio, licensed in Ohio (APRN.CNP.17247) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and maintains a secondary practice location in Columbus.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Rachel L Hamilton Aprn-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.
Medicare Billing Reassignments
6Medicare enrollment records show Rachel Hamilton reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mansfield, OH 44903
- Reassigned Medicare billing, Ohio enrollment
- 125 clinicians in this Medicare group
Galion, OH 44833
- Reassigned Medicare billing, Ohio enrollment
- 252 clinicians in this Medicare group
Dublin, OH 43016
- Reassigned Medicare billing, Ohio enrollment
- 388 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 12 clinicians in this Medicare group
Columbus, OH 43214
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 474 clinicians in this Medicare group
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 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.
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, OHGalion Community Hospital
Critical Access Hospitals · Galion, OHPhysician 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.
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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANSFIELD, 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 with taxonomy code 363L00000X.
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.
Which organizations bill Medicare for Rachel Hamilton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Hamilton reassigns Medicare benefits to 6 organizations: Mid-Ohio Emergency Group, LLC (Mansfield, OH), North Central Ohio Family Care Center, Inc (Galion, OH), Ohiohealth Urgent Care LLC (Dublin, OH), Mount Carmel Urgent Care (Columbus, OH), Ohiohealth Corporation (Columbus, OH) and 1 more organization, listed in the Medicare section above. 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 Rachel Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel Hamilton accept?
Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare, Oscar Health 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 October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Rachel L Hamilton, APRN-CNP · NPI 1417344755
Nurse Practitioner physician in Ontario, Ohio. Individual provider, active in the CMS NPPES registry since April 24, 2015.
## Identity
- **NPI:** 1417344755 (Entity type: Individual)
- **Enumerated:** April 24, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN.CNP.17247 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1750 W 4TH ST, Ontario, OH 44906-1770
- **Phone:** (419) 526-8111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Mid-Ohio Emergency Group, LLC (NPI 1881164010, Mansfield, OH); North Central Ohio Family Care Center, Inc (NPI 1689822827, Galion, OH); Ohiohealth Urgent Care LLC (NPI 1811207160, Dublin, OH); Mount Carmel Urgent Care (NPI 1528662491, Columbus, OH); Ohiohealth Corporation (NPI 1194979526, Columbus, OH); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417344755) · Data from the CMS NPPES public registry.