RACHAEL L BAARSTAD
NPI 1679030399
Nurse Practitioner - Acute Care in Dayton, OH

Active since February 28, 2019PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
30 E APPLE ST STE 5254, DAYTON, OH 45409(844) 277-2894 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rachael L Baarstad NPPES

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

RACHAEL L BAARSTAD (NPI 1679030399) is an individual acute care provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.023966) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679030399
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameRACHAEL L BAARSTAD
Location Address30 E APPLE ST STE 5254Dayton, OH 45409-2939
Mailing Address30 E Apple St Ste 5254Dayton, OH 45409-2939
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 28, 2019
NPI 1679030399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OH · APRN.CNP.023966
30 E APPLE ST STE 5254, Dayton, OH 45409

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rachael L Baarstad 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 ID5193058493
PECOS Enrollment IDI20190530003110
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
171 services129 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

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.

Nurse Practitioner (Acute Care)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Psychiatry & Neurology (Vascular Neurology)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Psychiatry & Neurology (Neurology)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Registered Nurse (Neuroscience)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 5254
DAYTON, OH 45409
Physician Assistant (Surgical)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 5254
DAYTON, OH 45409
Nurse Practitioner
30 E APPLE ST STE 5254
DAYTON, OH 45409

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 Rachael Baarstad's NPI number?

The NPI number for Rachael Baarstad is 1679030399. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Where is Rachael Baarstad located?

Rachael Baarstad practices at 30 E Apple St Ste 5254, Dayton, OH 45409. The listed phone number is (844) 277-2894.

What is Rachael Baarstad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Rachael Baarstad enrolled in Medicare?

Yes. Rachael Baarstad 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.

What insurance does Rachael Baarstad accept?

Health plans from CareSource and MedMutual list Rachael Baarstad 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.

Is Rachael Baarstad affiliated with any hospitals?

According to CMS data, Rachael Baarstad is affiliated with Miami Valley Hospital, Atrium Medical Center and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Rachael Baarstad was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.