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

Q: 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.

Q: What is Rachel Mathisen's specialty?

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

Q: 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.

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: August 09, 2026.

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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

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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 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.

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 2

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

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.

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.