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

Active since November 03, 2020PECOS Enrolled
100/100
CMS Quality Rating
844 N SHOOP AVE, WAUSEON, OH 43567(419) 285-9002 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2026, Aug 12, 2026, Jul 11, 2024 and 2 more (5 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 Wauseon, Ohio, licensed in Ohio (0027729) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467053827
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL ORTEGACredential: CNP
Location Address844 N SHOOP AVEWauseon, OH 43567-1814
Mailing Address844 N Shoop AveWauseon, OH 43567-1814
Phone(419) 285-9002
Sole ProprietorYes
Enumeration DateNovember 3, 2020
Last NPPES UpdateAugust 24, 20265 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ 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
844 N SHOOP AVE, Wauseon, OH 43567
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rachel Ortega reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Health Association Of Toledo, Inc.
20 mi
Federally Qualified Health Center (FQHC)
225 N IRWIN RD
Holland, OH 43528
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
NPI 1306225610 (419) 255-7883
The Little Clinic Of Ohio LLC
161 mi
Family
7132 HAMILTON AVE
Cincinnati, OH 45231
  • Reassigned Medicare billing, Ohio enrollment
  • 537 clinicians in this Medicare group
NPI 1982761896 (513) 728-2780

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 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 43567 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.

EVERSIDE HEALTH, LLC
Clinic/Center
844 N SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 285-9002
MRS. BRENDA MARIE HOOPS CNP
Nurse Practitioner (Family)
844 N SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 285-9002

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 844 N Shoop Ave, Wauseon, OH 43567. The listed phone number is (419) 285-9002.

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.

Which organizations bill Medicare for Rachel Ortega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Ortega reassigns Medicare benefits to 2 organizations: Neighborhood Health Association Of Toledo, Inc. (Holland, OH) and The Little Clinic Of Ohio LLC (Cincinnati, OH). 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 Ortega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.