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RACHEL KUMMER CRNP
NPI 1548788813
Nurse Practitioner - Adult Health in Huntsville, AL

Active since September 06, 2017PECOS EnrolledAccepts Medicare Assignment
77/100
CMS Quality Rating
101 SIVLEY RD SW, HUNTSVILLE, AL 35801(256) 265-1000 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rachel Kummer Crnp NPPES

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

RACHEL KUMMER CRNP (NPI 1548788813) is an individual adult health provider in Huntsville, Alabama, licensed in Alabama (1-140032) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1548788813
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRACHEL KUMMERCredential: CRNP
Location Address101 SIVLEY RD SWHuntsville, AL 35801-4421
Mailing Address3007 Memorial Pkwy Sw Ste BHuntsville, AL 35801-5394
Phone(256) 265-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 6, 2017
Last NPPES UpdateFebruary 19, 2019
✔ NPI 1548788813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AL · 1-140032
101 SIVLEY RD SW, Huntsville, AL 35801
Open in Google Maps ↗

Other Identifiers 1

Medicaid222220AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

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

Rachel Kummer Crnp 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 ID9234480740
PECOS Enrollment IDI20180922000199
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
211 services189 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
181 services161 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.9
Promoting Interoperability90
Improvement Activities40
Cost64.79

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.

DR. STEVEN CLAY OSBORNE JR. M.D.
Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 539-9471
DR. MICHAEL FREDERICK DONZE JR. D.O.
Hospitalist
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 801-6047
HOWARD MASON ROBERTSON JR. M.D.
Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
MELISSA PIROFSKY RICKETTS CRNP
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-3360
CASEY ZOLLO
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
JEREMY WHALEY
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
MIRIAM MARIE KNIGHT CRNP
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
MRS. JULIE D MCCOY CRNA
Nurse Anesthetist, Certified Registered
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000

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 Kummer's NPI number?

The NPI number for Rachel Kummer is 1548788813. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Where is Rachel Kummer located?

Rachel Kummer practices at 101 Sivley Rd SW, Huntsville, AL 35801. The listed phone number is (256) 265-1000.

What is Rachel Kummer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Rachel Kummer enrolled in Medicare?

Yes. Rachel Kummer 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.

What insurance does Rachel Kummer accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Rachel Kummer 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 Kummer was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.