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DR. RACHEL BILLSTROM NELSON M.D.
NPI 1447512017
Obstetrics & Gynecology in West Hartford, CT

Active since June 11, 2012PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
345 N MAIN ST, SUITE 201, WEST HARTFORD, CT 06117(860) 561-7222 Get Directions Write a Review

NPPES record last updated: July 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2017, Jul 11, 2016, May 10, 2016 (3 updates tracked since 2016).

About Dr. Rachel Billstrom Nelson M.d. NPPES

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

DR. RACHEL BILLSTROM NELSON M.D. (NPI 1447512017) is an individual obstetrics & gynecology provider in West Hartford, Connecticut, licensed in Connecticut (055108) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Connecticut School Of Medicine (2012).

NPPES Registry Identity

NPI1447512017
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. RACHEL BILLSTROM NELSONCredential: M.D.
Location Address345 N MAIN ST, SUITE 201West Hartford, CT 06117-2515
Mailing Address345 N Main St, Suite 201West Hartford, CT 06117-2515 · (860) 561-7222
Phone(860) 561-7222
Sole ProprietorYes
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2012
Enumeration DateJune 11, 2012
Last NPPES UpdateJuly 25, 20173 updates tracked since enumeration
✔ NPI 1447512017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CT · 055108
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
345 N MAIN ST, West Hartford, CT 06117
Open in Google Maps ↗

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

Dr. Rachel Billstrom Nelson M.d. 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 ID6204156722
PECOS Enrollment IDI20160811000235
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 2

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
19 services19 patients
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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06117 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
93%465 patients5/55-star benchmark: 93%
Cervical Cancer Screening
97%1,337 patients4/55-star benchmark: 98%
Controlling High Blood Pressure
67%64 patients3/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%1,435 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
72%1,536 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
44%1,762 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 67% · 1,427 patients
Patients screened: 69% · 1,427 patients
9%44 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ERIN HANNAN NP
Nurse Practitioner (Family)
345 N MAIN ST, SUITE 248
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 231-8345
MEGHAN DUNN
Counselor (Mental Health)
345 N MAIN ST
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 937-3875
MRS. ALEXIS LEVESQUE
Behavior Technician
345 N MAIN ST
WEST HARTFORD, CT 06117
Capitol Planning Region (959) 223-3077
KELLY ANN RIGGIERI APRN
Nurse Practitioner (Family)
345 N MAIN ST, SUITE 245
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 236-3000
MARIAN KELLNER MD
Obstetrics & Gynecology (Gynecology)
345 N MAIN ST, SUITE 201
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 231-2476
TRINH TU TRAN PA-C
Physician Assistant
345 N MAIN ST, SUITE 200
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 236-1300
TAMERA HOLLEY
Behavior Technician
345 N MAIN ST
WEST HARTFORD, CT 06117
Capitol Planning Region (203) 816-0091
EPSTEIN & RAPOPORT P.C.
Dentist (Pediatric Dentistry)
345 N MAIN ST, SUITE 320
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 523-4213

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 Nelson's NPI number?

The NPI number for Rachel Nelson is 1447512017. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Rachel Nelson located?

Rachel Nelson practices at 345 N Main St Suite 201, West Hartford, CT 06117. The listed phone number is (860) 561-7222.

What is Rachel Nelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rachel Nelson enrolled in Medicare?

Yes. Rachel Nelson 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.

Is Rachel Nelson affiliated with any hospitals?

According to CMS data, Rachel Nelson is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Nelson was last updated on July 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.