RACHAEL LYNN SPEAR CRNA
NPI 1679655229
Nurse Anesthetist, Certified Registered in Wadena, MN

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
415 JEFFERSON ST N, WADENA, MN 58482(218) 631-3510 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rachael Lynn Spear Crna NPPES

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

RACHAEL LYNN SPEAR CRNA (NPI 1679655229) is an individual nurse anesthetist, certified registered in Wadena, Minnesota, licensed in Minnesota (R1628287) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2002).

NPPES Registry Identity

NPI1679655229
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameRACHAEL LYNN SPEARCredential: CRNA
Location Address415 JEFFERSON ST NWadena, MN 58482-1264
Mailing Address415 Jefferson St NWadena, MN 58482-1264 · (218) 631-3510
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2002
Enumeration DateOctober 20, 2006
Last NPPES UpdateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1679655229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MN · R1628287✔ Licensed in MN · 385
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
415 JEFFERSON ST N, Wadena, MN 58482

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

Rachael Lynn Spear Crna 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 ID3577559764
PECOS Enrollment IDI20040422001269
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 Rachael Spear reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
421 11TH ST NW
Wadena, MN 56482
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1134305162 (Minnesota)
  • 202 clinicians in this Medicare group
Physical Therapy
106 5TH ST SOUTH
Walker, MN 56484
  • Reassigned Medicare billing, Minnesota enrollment
  • 607 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.

Hospital Affiliations CMS Care Compare 2

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Astera Health

Critical Access Hospitals · Wadena, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241354
Location421 11th Street NWWadena, MN 56482 · Wadena County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58482 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

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 Spear's NPI number?

The NPI number for Rachael Spear is 1679655229. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Rachael Spear located?

Rachael Spear practices at 415 Jefferson St N, Wadena, MN 58482. The listed phone number is (218) 631-3510.

What is Rachael Spear's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Rachael Spear enrolled in Medicare?

Yes. Rachael Spear 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 organizations bill Medicare for Rachael Spear's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Spear reassigns Medicare benefits to 2 organizations: Astera Health (Wadena, MN) and Sanford Health Of Northern Minnesota (Walker, MN). 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 Rachael Spear's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Spear accept?

Health plans from Sanford Health Plan list Rachael Spear 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 Spear affiliated with any hospitals?

According to CMS data, Rachael Spear is affiliated with Sanford Bemidji Medical Center and Astera Health.

When was this NPI record last updated?

The NPPES record for Rachael Spear was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.