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NICHOLAS FREDERICK RACHLOW PMHNP
NPI 1659232809
Nurse Practitioner - Psychiatric/Mental Health in Gardena, CA

Active since November 18, 2025PECOS EnrolledAccepts Medicare Assignment
1225 W 190TH ST STE 208, GARDENA, CA 90248(877) 515-8113(877) 538-2102 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2026, Nov 18, 2025 (2 updates tracked since 2025).

About Nicholas Frederick Rachlow Pmhnp NPPES

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

NICHOLAS FREDERICK RACHLOW PMHNP (NPI 1659232809) is an individual psychiatric/mental health provider in Gardena, California, licensed in California (95037581) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659232809
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameNICHOLAS FREDERICK RACHLOWCredential: PMHNP
Location Address1225 W 190TH ST STE 208Gardena, CA 90248-4336
Mailing Address1225 W 190th St Ste 208Gardena, CA 90248-4336 · (877) 515-8113 · Fax (877) 538-2102
Phone(877) 515-8113
Fax(877) 538-2102
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 18, 2025
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1659232809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95037581
1225 W 190TH ST STE 208, Gardena, CA 90248
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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

Nicholas Frederick Rachlow Pmhnp 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 ID2567943194
PECOS Enrollment IDI20260223000892
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 Nicholas Rachlow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ehab Yacoub MD Inc.
Same address
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113

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 90248 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Nicholas Rachlow's NPI number?

The NPI number for Nicholas Rachlow is 1659232809. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Nicholas Rachlow located?

Nicholas Rachlow practices at 1225 W 190th St Ste 208, Gardena, CA 90248. The listed phone number is (877) 515-8113.

What is Nicholas Rachlow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicholas Rachlow enrolled in Medicare?

Yes. Nicholas Rachlow 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 organization bills Medicare for Nicholas Rachlow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Rachlow reassigns Medicare benefits to Ehab Yacoub MD Inc. (Gardena, CA). 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 Nicholas Rachlow'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 Nicholas Rachlow was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.