Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RACHAEL KAY GORMALLY NP
NPI 1659020220
Nurse Practitioner - Family in Roxbury, MA

Active since March 22, 2022PECOS Enrolled
84.88/100
CMS Quality Rating
75 MALCOLM X BLVD, ROXBURY, MA 02120(617) 534-9951 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Mar 3, 2026, Dec 12, 2025 and 1 more (4 updates tracked since 2022).

About Rachael Kay Gormally Np NPPES

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

RACHAEL KAY GORMALLY NP (NPI 1659020220) is an individual family provider in Roxbury, Massachusetts, licensed in Massachusetts (RN2351981) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659020220
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHAEL KAY GORMALLYCredential: NP
Location Address75 MALCOLM X BLVDRoxbury, MA 02120-3106
Mailing Address1010 Massachusetts Ave Fl 2Boston, MA 02118-3539
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateNovember 2, 20264 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1659020220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2351981
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2351981 (MA)
75 MALCOLM X BLVD, Roxbury, MA 02120

Accepted Insurance

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

Rachael Kay Gormally Np 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 ID749658292
PECOS Enrollment IDI20221115001304
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 Rachael Gormally reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1 BOSTON MEDICAL CTR PL, DIVISION OF PEDIATRICS, DOWLING 3 SOUTH
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 195 clinicians in this Medicare group
Family
67D MAIN ST
Medway, MA 02053
  • Reassigned Medicare billing, Massachusetts enrollment
  • 186 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.

Areas of Expertise CMS Part B claims

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02120 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.44
Improvement Activities40
Cost98.29

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Adult Health)
75 MALCOLM X BLVD
ROXBURY, MA 02120
Social Worker (Clinical)
75 MALCOLM X BLVD
BOSTON, MA 02120

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 Gormally's NPI number?

The NPI number for Rachael Gormally is 1659020220. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Rachael Gormally located?

Rachael Gormally practices at 75 Malcolm X Blvd, Roxbury, MA 02120. The listed phone number is (617) 534-9951.

What is Rachael Gormally's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachael Gormally enrolled in Medicare?

Yes. Rachael Gormally 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 Rachael Gormally's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Gormally reassigns Medicare benefits to 2 organizations: Child Health Foundation Of Boston, Inc. (Boston, MA) and Minuteclinic Diagnostic Of Massachusetts LLC (Medway, MA). 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 Rachael Gormally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Gormally accept?

Health plans from WellSense Health Plan list Rachael Gormally 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 Gormally was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.