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RACHAEL BURTON APRN, WHNP-BC
NPI 1548726565
Nurse Practitioner - Women's Health in Austin, TX

Active since February 14, 2019PECOS Enrolled
72.52/100
CMS Quality Rating
1301 W 38TH ST STE 205, AUSTIN, TX 78705(512) 324-7256(512) 324-7555 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2026, Feb 14, 2019 (2 updates tracked since 2019).

About Rachael Burton Aprn, Whnp-bc NPPES

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

RACHAEL BURTON APRN, WHNP-BC (NPI 1548726565) is an individual women's health provider in Austin, Texas, licensed in Texas (AP138019) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548726565
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameRACHAEL BURTONCredential: APRN, WHNP-BC
Location Address1301 W 38TH ST STE 205Austin, TX 78705-1011
Mailing Address1301 W 38th St Ste 205Austin, TX 78705-1011 · (512) 324-7256 · Fax (512) 324-7555
Phone(512) 324-7256
Fax(512) 324-7555
Sole ProprietorNo
Enumeration DateFebruary 14, 2019
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1548726565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TX · AP138019
1301 W 38TH ST STE 205, Austin, TX 78705
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc. 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)

Rachael Burton Aprn, Whnp-bc 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 Rachael Burton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seton Family Of Doctors
2.1 mi
Neurological Surgery
1601 TRINITY ST STOP 704
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
NPI 1588997233 (512) 324-8300

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 78705 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.

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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Other Providers at the Same Location NPPES 7

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

DR. DANIEL YUAN LEVESQUE MD
Internal Medicine
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Travis County (512) 324-1864
BRYNN RILEY GC
Genetic Counselor, MS
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Travis County (512) 324-7256
VINOOP DAGGUBATI D.O.
Internal Medicine
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Travis County (512) 324-1684
NANCY T. FOSTER MD
Internal Medicine
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Travis County (512) 324-1864
DR. ERIN KOVAL M.D.
Internal Medicine
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Travis County (512) 324-1864
BRANDON KINNEY M.D.
Internal Medicine
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Travis County (512) 324-1864
DR. ANNE HOLLAND MARDY M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Travis County (512) 324-7036

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 Burton's NPI number?

The NPI number for Rachael Burton is 1548726565. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Rachael Burton located?

Rachael Burton practices at 1301 W 38th St Ste 205, Austin, TX 78705. The listed phone number is (512) 324-7256.

What is Rachael Burton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Rachael Burton enrolled in Medicare?

Yes. Rachael Burton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachael Burton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Burton reassigns Medicare benefits to Seton Family Of Doctors (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 Rachael Burton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Burton accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Rachael Burton 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 Rachael Burton was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.