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RACHEL C ASHWORTH M.D.
NPI 1699030379
Pediatrics - Pediatric Critical Care Medicine in Milwaukee, WI

Active since July 09, 2012PECOS Enrolled
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-3360(414) 266-3563 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2020, Aug 8, 2018 (2 updates tracked since 2018).

About Rachel C Ashworth M.d. NPPES

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

RACHEL C ASHWORTH M.D. (NPI 1699030379) is an individual pediatric critical care medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (73816) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699030379
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameRACHEL C ASHWORTHCredential: M.D.
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-3360 · Fax (414) 266-3563
Phone(414) 266-3360
Fax(414) 266-3563
Sole ProprietorNo
Enumeration DateJuly 9, 2012
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
✔ NPI 1699030379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in WI · 73816
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 2012018914 (MO)
9000 W WISCONSIN AVE, Milwaukee, WI 53226
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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 C Ashworth M.d. 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 Reassignment

Medicare enrollment records show Rachel Ashworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Medical College Of Wisconsin, Inc.
0.1 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 Ashworth's NPI number?

The NPI number for Rachel Ashworth is 1699030379. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Rachel Ashworth located?

Rachel Ashworth practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-3360.

What is Rachel Ashworth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Rachel Ashworth enrolled in Medicare?

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

Which organization bills Medicare for Rachel Ashworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Ashworth reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). The 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 Ashworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Ashworth accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and Network Health list Rachel Ashworth 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 Ashworth was last updated on August 7, 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.