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RACHEL VALDEZ NP-C
NPI 1649896184
Nurse Practitioner in Walnut Creek, CA

Active since June 21, 2020PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
130 LA CASA VIA BLDG 3-211, WALNUT CREEK, CA 94598(925) 933-0984 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rachel Valdez Np-c NPPES

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

RACHEL VALDEZ NP-C (NPI 1649896184) is an individual nurse practitioner in Walnut Creek, California, licensed in California (95014620) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stockton, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649896184
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL VALDEZCredential: NP-C
Location Address130 LA CASA VIA BLDG 3-211Walnut Creek, CA 94598-3045
Mailing Address1450 Treat Blvd # 300Walnut Creek, CA 94597-2168 · (925) 952-2828
Phone(925) 933-0984
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 21, 2020
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1649896184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95014620
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
130 LA CASA VIA BLDG 3-211, Walnut Creek, CA 94598
Open in Google Maps ↗

Secondary Practice Location 1

Location 12633 Pacific AveStockton, CA 95204-4429 · Phone (209) 944-5530

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Valdez Np-c 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 ID2769809235
PECOS Enrollment IDI20200826002799
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 Valdez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

John Muir Physician Network
1.2 mi
General Practice
1450 TREAT BLVD, SUITE 300
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 650 clinicians in this Medicare group
NPI 1841407665 (925) 296-9872
Manshadi Heart Institute Inc
41 mi
Interventional Cardiology
2633 PACIFIC AVE
Stockton, CA 95204
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1225380603 (209) 944-5530

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 6

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 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.
143 services139 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
32 services32 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
26 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services17 patients
Aspiration of abscess, blood, or cyst 10160
Aspiration is a procedure where a needle is carefully inserted into an area of abnormal growth or swelling (like an abscess, blood clot, or cyst) to remove fluid. This helps in reducing pain, facilitating healing, and testing the fluid if needed.
12 services12 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

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 Valdez's NPI number?

The NPI number for Rachel Valdez is 1649896184. It was assigned to this individual provider in the NPPES registry on June 21, 2020.

Where is Rachel Valdez located?

Rachel Valdez practices at 130 La Casa Via Bldg 3-211, Walnut Creek, CA 94598. The listed phone number is (925) 933-0984.

What is Rachel Valdez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachel Valdez enrolled in Medicare?

Yes. Rachel Valdez 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.

Which organizations bill Medicare for Rachel Valdez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Valdez reassigns Medicare benefits to 2 organizations: John Muir Physician Network (Walnut Creek, CA) and Manshadi Heart Institute Inc (Stockton, CA). 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 Valdez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rachel Valdez was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.