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RACHEL DIANNE DOWNEY APRN, CNS, CPNP-AC
NPI 1497423511
Nurse Practitioner - Pediatrics in Austin, TX

Active since September 02, 2021PECOS Enrolled
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723(512) 628-1820 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rachel Dianne Downey Aprn, Cns, Cpnp-ac NPPES

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

RACHEL DIANNE DOWNEY APRN, CNS, CPNP-AC (NPI 1497423511) is an individual pediatrics provider in Austin, Texas, licensed in Texas (1052129) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497423511
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameRACHEL DIANNE DOWNEYCredential: APRN, CNS, CPNP-AC
Location Address1301 BARBARA JORDAN BLVD STE 200Austin, TX 78723-3078
Mailing Address1301 Barbara Jordan Blvd Ste 200Austin, TX 78723-3078
Phone(512) 628-1820
Sole ProprietorNo
Enumeration DateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1497423511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1052129
1301 BARBARA JORDAN BLVD STE 200, Austin, TX 78723
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Dianne Downey Aprn, Cns, Cpnp-ac 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 Reassignment

Medicare enrollment records show Rachel Downey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dell Children's Medical Group
Same address
Pediatrics
1301 BARBARA JORDAN BLVD STE 200
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1326072943 (512) 628-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78723 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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.

MOISE LEVY MD
Dermatology (Pediatric Dermatology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1920
JAMES GIBSON MD
Medical Genetics (Clinical Biochemical Genetics)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1840
DR. LUCIA ZORAIDA DIAZ M.D.
Dermatology (Pediatric Dermatology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1920
NATASHA LEE MD
Pediatrics (Hospice and Palliative Medicine)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 324-0197
DR. SUJAL RANGWALLA D.O.
Pediatrics (Pediatric Gastroenterology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1810
JANET ELLEN ORROCK MD
Pediatrics (Pediatric Rheumatology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1880
SIREESHA CHINTHAPARTHI MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1855
COURTNEY CAPRI CONLON PNP-PC
Nurse Practitioner (Pediatrics)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Travis County (512) 628-1830

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 Downey's NPI number?

The NPI number for Rachel Downey is 1497423511. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Rachel Downey located?

Rachel Downey practices at 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723. The listed phone number is (512) 628-1820.

What is Rachel Downey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Rachel Downey enrolled in Medicare?

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

Which organization bills Medicare for Rachel Downey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Downey reassigns Medicare benefits to Dell Children's Medical Group (Austin, TX). The 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 Downey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Downey accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Rachel Downey 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 Downey was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.