RACHAEL A. SMITH CRNP
NPI 1437225372
Nurse Practitioner - Family in Franklin, PA

Active since November 24, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
464 ALLEGHENY BLVD, SUITE 100, FRANKLIN, PA 16323(814) 432-9801(814) 432-9805 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachael A. Smith Crnp NPPES

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

RACHAEL A. SMITH CRNP (NPI 1437225372) is an individual family provider in Franklin, Pennsylvania, licensed in Pennsylvania (SP009252) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1437225372
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHAEL A. SMITHCredential: CRNP
Location Address464 ALLEGHENY BLVD, SUITE 100Franklin, PA 16323-6210
Mailing Address2 Hot Metal St, Quantum OnePittsburgh, PA 15203-2348
Fax(814) 432-9805
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 24, 2006
Last NPPES UpdateMarch 30, 2017
NPI 1437225372 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 PA · SP009252
464 ALLEGHENY BLVD, Franklin, PA 16323

Other Identifiers 2

OtherSP009252PA · Pa Crnp Certificate Numbe
Medicare UPINQ79012

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

Rachael A. Smith Crnp 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 ID6507868395
PECOS Enrollment IDI20070207000488
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services56 patients
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.
34 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16323 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 14

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

Family Medicine
464 ALLEGHENY BLVD
FRANKLIN, PA 16323
Family Medicine
464 ALLEGHENY BLVD
FRANKLIN, PA 16323
Physician Assistant
464 ALLEGHENY BLVD
FRANKLIN, PA 16323
Physician Assistant
464 ALLEGHENY BLVD
FRANKLIN, PA 16323
Non-Pharmacy Dispensing Site
464 ALLEGHENY BLVD, 2ND FL
FRANKLIN, PA 16323
Clinic/Center (Urgent Care)
464 ALLEGHENY BLVD, PENNWOOD CENTER
FRANKLIN, PA 16323
Specialist
464 ALLEGHENY BLVD, SUITE 2A
FRANKLIN, PA 16323
Clinic/Center (VA)
464 ALLEGHENY BLVD
FRANKLIN, PA 16323

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 Smith's NPI number?

The NPI number for Rachael Smith is 1437225372. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Rachael Smith located?

Rachael Smith practices at 464 Allegheny Blvd Suite 100, Franklin, PA 16323. The listed phone number is (814) 432-9801.

What is Rachael Smith's specialty?

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

Is Rachael Smith enrolled in Medicare?

Yes. Rachael Smith 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.

When was this NPI record last updated?

The NPPES record for Rachael Smith was last updated on March 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.