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RACHEL CAROL MATHISEN
NPI 1679009724
Nurse Practitioner - Family in Wagener, SC

Active since May 11, 2017PECOS Enrolled
120 LOUIE ST, WAGENER, SC 29164(803) 564-8803 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rachel Carol Mathisen NPPES

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

RACHEL CAROL MATHISEN (NPI 1679009724) is an individual family provider in Wagener, South Carolina, licensed in South Carolina (20972) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679009724
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL CAROL MATHISEN
Location Address120 LOUIE STWagener, SC 29164-9445
Mailing Address5200 Greystone Summit Dr, Apt 308Columbus, GA 31909-7541 · (732) 533-8708
Phone(803) 564-8803
Sole ProprietorNo
Enumeration DateMay 11, 2017
✔ NPI 1679009724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 20972
120 LOUIE ST, Wagener, SC 29164
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Carol Mathisen 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rachel Mathisen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Urgent Care LLC
252 mi
Urgent Care
1925 W MAIN ST STE 120
Centre, AL 35960
  • Reassigned Medicare billing, Georgia enrollment
  • 157 clinicians in this Medicare group
NPI 1932586476 (205) 545-5088
Signify Health Medical Associates, PLLC
896 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 29164 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
56%178 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
16%322 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
10%140 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%135 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims56 services$6.96 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers14 claims14 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims28 services$1.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MRS. ERIN PATRICIA BEAUDRY FNP
Nurse Practitioner (Family)
120 LOUIE ST
WAGENER, SC 29164
Aiken County (803) 564-8803
TOWN OF WAGENER SOUTH CAROLINA
Clinic/Center (Health Service)
120 LOUIE ST
WAGENER, SC 29164
Aiken County (803) 564-8803
MRS. MARY C WARD AGNP-BC
Nurse Practitioner (Adult Health)
120 LOUIE ST
WAGENER, SC 29164
Aiken County (803) 796-1521
DR. JOHN ROBERT DUNN III M.D.
Family Medicine
120 LOUIE ST
WAGENER, SC 29164
Aiken County (803) 796-1521

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 Mathisen's NPI number?

The NPI number for Rachel Mathisen is 1679009724. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Rachel Mathisen located?

Rachel Mathisen practices at 120 Louie St, Wagener, SC 29164. The listed phone number is (803) 564-8803.

What is Rachel Mathisen's specialty?

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

Is Rachel Mathisen enrolled in Medicare?

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

Which organizations bill Medicare for Rachel Mathisen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Mathisen reassigns Medicare benefits to 2 organizations: Rural Urgent Care LLC (Centre, AL) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Mathisen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Mathisen accept?

Health plans from CareSource (Common Ground Healthcare) list Rachel Mathisen 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 Mathisen was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.