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RACHEL ORTEGA CNP
NPI 1467053827
Nurse Practitioner - Family in Holland, OH

Active since November 03, 2020PECOS Enrolled
100/100
CMS Quality Rating
225 N IRWIN RD, HOLLAND, OH 43528(567) 703-1263(419) 720-7895 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Jun 30, 2021, Nov 3, 2020 (3 updates tracked since 2020).

About Rachel Ortega Cnp NPPES

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

RACHEL ORTEGA CNP (NPI 1467053827) is an individual family provider in Holland, Ohio, licensed in Ohio (0027729) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1467053827
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL ORTEGACredential: CNP
Location Address225 N IRWIN RDHolland, OH 43528-9745
Mailing Address225 N Irwin RdHolland, OH 43528-9745 · (419) 255-7883 · Fax (419) 720-7895
Phone(567) 703-1263
Fax(419) 720-7895
Sole ProprietorYes
Enumeration DateNovember 3, 2020
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1467053827 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 · 0027729
225 N IRWIN RD, Holland, OH 43528
Open in Google Maps ↗

Secondary Practice Location 1

Location 11415 Jefferson AveToledo, OH 43604-5827 · Phone (419) 255-7883

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Ortega Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.
26 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43528 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.

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

Other Providers at the Same Location NPPES 2

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

MRS. MELTRINA RENEE SCOTT
Community/Behavioral Health
225 N IRWIN RD
HOLLAND, OH 43528
Lucas County (419) 214-4354
NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
225 N IRWIN RD
HOLLAND, OH 43528
Lucas County (419) 255-7883

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 Ortega's NPI number?

The NPI number for Rachel Ortega is 1467053827. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Rachel Ortega located?

Rachel Ortega practices at 225 N Irwin Rd, Holland, OH 43528. The listed phone number is (567) 703-1263.

What is Rachel Ortega's specialty?

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

Is Rachel Ortega enrolled in Medicare?

Yes. Rachel Ortega is registered in the Medicare PECOS enrollment system.

What insurance does Rachel Ortega accept?

Health plans from CareSource and MedMutual list Rachel Ortega 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.

When was this NPI record last updated?

The NPPES record for Rachel Ortega was last updated on July 11, 2024. 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.