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MRS. RACHAEL KATHRYN MEDRANO MS, RN, FNP-C
NPI 1730698614
Nurse Practitioner - Family in Irving, TX

Active since September 23, 2017PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
2021 N MACARTHUR BLVD STE 150, IRVING, TX 75061(197) 225-2560(972) 253-4218 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 30, 2017, Nov 1, 2017 and 1 more (4 updates tracked since 2017).

About Mrs. Rachael Kathryn Medrano Ms, Rn, Fnp-c NPPES

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

MRS. RACHAEL KATHRYN MEDRANO MS, RN, FNP-C (NPI 1730698614) is an individual family provider in Irving, Texas, licensed in Texas (AP134706) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains a secondary practice location in Irving.

NPPES Registry Identity

NPI1730698614
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RACHAEL KATHRYN MEDRANOCredential: MS, RN, FNP-C
Location Address2021 N MACARTHUR BLVD STE 150Irving, TX 75061-2210
Mailing Address2021 N Macarthur Blvd Ste 150Irving, TX 75061-2210 · (972) 253-4210 · Fax (972) 253-2510
Phone(197) 225-2560
Fax(972) 253-4218
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 23, 2017
Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration
✔ NPI 1730698614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP134706
2021 N MACARTHUR BLVD STE 150, Irving, TX 75061
Open in Google Maps ↗

Other Names 1

Former Name (1)Rachael Kathryn Williamson

Secondary Practice Location 1

Location 12021 N MacArthur Blvd Ste 325Irving, TX 75061-2210 · Phone (972) 253-4210 · Fax (972) 253-2510

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Rachael Kathryn Medrano Ms, Rn, Fnp-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 ID1456618032
PECOS Enrollment IDI20171207000421
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 10

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 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.
132 services102 patients
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.
90 services66 patients
Pessary, reusable, non rubber, any type A4562
A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.
39 services32 patients
Fitting and insertion of vaginal support device 57160
A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.
36 services30 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
26 services24 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729
This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75061 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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 Medrano's NPI number?

The NPI number for Rachael Medrano is 1730698614. It was assigned to this individual provider in the NPPES registry on September 23, 2017. The provider is also known as Rachael Kathryn Williamson.

Where is Rachael Medrano located?

Rachael Medrano practices at 2021 N Macarthur Blvd Ste 150, Irving, TX 75061. The listed phone number is (197) 225-2560.

What is Rachael Medrano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachael Medrano enrolled in Medicare?

Yes. Rachael Medrano 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 Medrano accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Rachael Medrano 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 Medrano affiliated with any hospitals?

According to CMS data, Rachael Medrano is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Rachael Medrano was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.