MRS. RACHEL CHRISTINA SOUTHARD
NPI 1669809604
Nurse Practitioner in Worcester, MA
About Mrs. Rachel Christina Southard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. RACHEL CHRISTINA SOUTHARD (NPI 1669809604) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN270051) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Rachel Christina Southard 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.
Medicare Billing Reassignment
Medicare enrollment records show Rachel Southard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 468 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Southard's NPI number?
The NPI number for Rachel Southard is 1669809604. It was assigned to this individual provider in the NPPES registry on October 6, 2013.
Where is Rachel Southard located?
Rachel Southard practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-8585.
What is Rachel Southard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Rachel Southard enrolled in Medicare?
Yes. Rachel Southard 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 Rachel Southard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Southard reassigns Medicare benefits to Starling Physicians, PLLC (Wethersfield, CT). 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 Southard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel Southard accept?
Health plans from Anthem Blue Cross and Blue Shield list Rachel Southard 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 Southard was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Rachel Christina Southard · NPI 1669809604
Nurse Practitioner physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since October 6, 2013.
## Identity
- **NPI:** 1669809604 (Entity type: Individual)
- **Enumerated:** October 6, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN270051 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-8585 · **Fax:** (508) 334-4799
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Starling Physicians, PLLC (NPI 1306779905, Wethersfield, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669809604) · Data from the CMS NPPES public registry.