MRS. RACHAEL WHITNEY VILLARREAL APN
NPI 1710347893
Nurse Practitioner in Fairview Heights, IL

NPI Status: Active since March 02, 2016

Contact Information

6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL
ZIP 62208
Phone: (314) 687-2734

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Accepts Insurance
PECOS Enrolled

About RACHAEL VILLARREAL

This page provides the complete NPI Profile along with additional information for Rachael Villarreal, a provider established in Fairview Heights, Illinois with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1710347893 assigned on March 2016. The practitioner's primary taxonomy code is 363L00000X with license number 2016005846 (MO). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI: 1710347893
Provider Name: MRS. RACHAEL WHITNEY VILLARREAL APN
Other Name: MS. RACHAEL WHITNEY MARKS APN
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 6505 N ILLINOIS ST FAIRVIEW HEIGHTS, IL 62208
Location Phone: (314) 687-2734
Mailing Address: 1475 KISKER RD SAINT CHARLES, MO 63304
Mailing Phone: (366) 498-7406
Is Sole Proprietor?: No
Enumeration Date: 03-02-2016
Last Update Date: 10-30-2020
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A nurse practitioner (NP) like Rachael Villarreal is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

6505 N Illinois St
Fairview Heights, IL 62208
(314) 687-2734

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner
Taxonomy Code: 363L00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 2016005846
License State: MO
Taxonomy Description: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	209014435 (IL)
2	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Family	209.014435 (IL)
3	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Family	2016005846 (MO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Silver S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Rachael Villarreal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 62208 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $88.44
Minimum New Patient Price $56.28
Maximum New Patient Price $173.35

Average New Patient Copayment $22.11
Minimum New Patient Copayment $14.07
Maximum New Patient Copayment $43.33

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $99.71
Minimum Established Patient Price $17.51
Maximum Established Patient Price $139.99

Average Established Patient Copayment $24.92
Minimum Established Patient Copayment $4.37
Maximum Established Patient Copayment $34.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	1	0	3	4	7	8	9	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	2	0	6	4	14	8	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 4 + 1 + 4 + 8 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1710347893 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.