MS. DOREEN A. RACKLIFFE PA-C
NPI 1710965397
Physician Assistant - Medical in Bristol, CT

Q: What is Doreen Rackliffe's NPI number?

The NPI number for Doreen Rackliffe is 1710965397. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is Doreen Rackliffe's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Doreen Rackliffe was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 04, 2006PECOS EnrolledAccepts Medicare Assignment

255 N MAIN ST, SUITE 100, BRISTOL, CT 06010(860) 582-3942(860) 584-6529 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Doreen A. Rackliffe Pa-c NPPES

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

MS. DOREEN A. RACKLIFFE PA-C (NPI 1710965397) is an individual medical provider in Bristol, Connecticut, licensed in Connecticut (000825) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1710965397

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. DOREEN A. RACKLIFFECredential: PA-C

Location Address255 N MAIN ST, SUITE 100Bristol, CT 06010-4972

Mailing Address255 North Main Street, Suite 100Bristol, CT 06010 · (860) 582-3942 · Fax (860) 584-6529

Phone(860) 582-3942

Fax(860) 584-6529

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJanuary 4, 2006

Last NPPES UpdateOctober 28, 2021

NPPES CertifiedOctober 28, 2021

✔ NPI 1710965397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CT · 000825

255 N MAIN ST, Bristol, CT 06010

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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 and accepts Medicare assignment

Ms. Doreen A. Rackliffe Pa-c 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 ID4880693142

PECOS Enrollment IDI20061214000077

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 3

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.

100 services89 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

69 services62 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

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

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…

41%225 patients2/55-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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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