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RACHEL ELLENBOGEN PA-C
NPI 1669974101
Physician Assistant in Reston, VA

Active since February 28, 2018PECOS Enrolled
1850 TOWN CENTER PKWY, RESTON, VA 20190(703) 689-9000 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2020, May 3, 2018, Feb 28, 2018 (3 updates tracked since 2018).

About Rachel Ellenbogen Pa-c NPPES

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

RACHEL ELLENBOGEN PA-C (NPI 1669974101) is an individual physician assistant in Reston, Virginia and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pueblo.

NPPES Registry Identity

NPI1669974101
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRACHEL ELLENBOGENCredential: PA-C
Location Address1850 TOWN CENTER PKWYReston, VA 20190-3204
Mailing Address1850 Town Center PkwyReston, VA 20190-3204
Phone(703) 689-9000
Sole ProprietorNo
Enumeration DateFebruary 28, 2018
Last NPPES UpdateFebruary 3, 20203 updates tracked since enumeration
✔ NPI 1669974101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1850 TOWN CENTER PKWY, Reston, VA 20190
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Secondary Practice Location 1

Location 1400 W 16th StPueblo, CO 81003-2745 · Phone (719) 584-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Ellenbogen Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MEDSTAR MEDICAL GROUP II LLC
General Practice
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (202) 877-7685
DR. DAVID E KARDON MD
Pathology (Anatomic Pathology & Clinical Pathology)
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 689-9093
DR. ANDREW HARRIS GORDON M.D., PH.D.
Physical Medicine & Rehabilitation
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 949-9660
BERNARD JAMES GAMIAO
Occupational Therapist
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 689-9000
SEON H LEE MD
Emergency Medicine
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 689-9037
MRS. DIANE D ZHAO MD
Physical Medicine & Rehabilitation
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 689-9000
DR. JAMES L TORRENS MD
Anesthesiology
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 471-0919
JOHN M YOUNG CRNA
Nurse Anesthetist, Certified Registered
1850 TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 471-0919

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 Ellenbogen's NPI number?

The NPI number for Rachel Ellenbogen is 1669974101. It was assigned to this individual provider in the NPPES registry on February 28, 2018.

Where is Rachel Ellenbogen located?

Rachel Ellenbogen practices at 1850 Town Center Pkwy, Reston, VA 20190. The listed phone number is (703) 689-9000.

What is Rachel Ellenbogen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rachel Ellenbogen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rachel Ellenbogen was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.