RACHEL N. ANTHONY CPNP, APRN-NP
NPI 1598033946
Nurse Practitioner - Pediatrics in Aurora, CO

Active since December 13, 2011PECOS Enrolled
97.58/100
CMS Quality Rating
13123 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2022, May 9, 2016 (2 updates tracked since 2016).

About Rachel N. Anthony Cpnp, Aprn-np NPPES

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

RACHEL N. ANTHONY CPNP, APRN-NP (NPI 1598033946) is an individual pediatrics provider in Aurora, Colorado, licensed in Colorado (APN.0993109-NP) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Delta.

NPPES Registry Identity

NPI1598033946
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameRACHEL N. ANTHONYCredential: CPNP, APRN-NP
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Enumeration DateDecember 13, 2011
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1598033946 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
Licenses✔ Licensed in CO · APN.0993109-NP✔ Licensed in NE · 111264
13123 E 16TH AVE, Aurora, CO 80045

Other Names 1

Former Name (1)Rachel N Lockhart Cpnp, Aprn-np

Secondary Practice Location 1

Location 1360 E 8th StDelta, CO 81416-2379 · Phone (970) 874-2753 · Fax (970) 399-7005

Accepted 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 N. Anthony Cpnp, Aprn-np 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 Anthony reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
13123 E 16TH AVE
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group

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 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

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 Anthony's NPI number?

The NPI number for Rachel Anthony is 1598033946. It was assigned to this individual provider in the NPPES registry on December 13, 2011. The provider is also known as Rachel N Lockhart Cpnp, Aprn-Np.

Where is Rachel Anthony located?

Rachel Anthony practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Rachel Anthony's specialty?

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

Is Rachel Anthony enrolled in Medicare?

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

Which organization bills Medicare for Rachel Anthony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Anthony reassigns Medicare benefits to University Physicians Incorporated (Aurora, CO). 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 Anthony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Anthony accept?

Health plans from Select Health and UnitedHealthcare list Rachel Anthony 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 Anthony was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.