RACHELLE DUNCAN
NPI 1760298897
Nurse Practitioner - Family in Richmond, VA

Active since December 04, 2024PECOS Enrolled
3900 WESTERRE PKWY STE 300, RICHMOND, VA 23233(443) 383-9300 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rachelle Duncan NPPES

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

RACHELLE DUNCAN (NPI 1760298897) is an individual family provider in Richmond, Virginia, licensed in Virginia (0024191973) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Disputanta.

NPPES Registry Identity

NPI1760298897
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHELLE DUNCAN
Location Address3900 WESTERRE PKWY STE 300Richmond, VA 23233-1339
Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (443) 383-9300
Sole ProprietorYes
Enumeration DateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1760298897 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 VA · 0024191973
3900 WESTERRE PKWY STE 300, Richmond, VA 23233

Secondary Practice Location 1

Location 118044 Loving Union RdDisputanta, VA 23842-7001 · Phone (804) 380-7695

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachelle Duncan 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 Reassignments

2

Medicare enrollment records show Rachelle Duncan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
293 INDEPENDENCE BLVD, PEMBROKE 5, SUITE 330
Virginia Beach, VA 23462
  • Reassigned Medicare billing, Virginia enrollment
  • 11 clinicians in this Medicare group
Surgery
8403 COLESVILLE RD STE 1100
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 111 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.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
26 services19 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services16 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23233 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Community/Behavioral Health
3900 WESTERRE PKWY STE 300
RICHMOND, VA 23233
General Practice
3900 WESTERRE PKWY STE 300
RICHMOND, VA 23233
Behavior Analyst
3900 WESTERRE PKWY STE 300
RICHMOND, VA 23233
Social Worker (Clinical)
3900 WESTERRE PKWY STE 300
RICHMOND, VA 23233
Psychiatry & Neurology (Psychiatry)
3900 WESTERRE PKWY STE 300
RICHMOND, VA 23233
Nurse Practitioner (Family)
3900 WESTERRE PKWY STE 300
RICHMOND, VA 23233
Nurse Practitioner (Psychiatric/Mental Health)
3900 WESTERRE PKWY STE 300
RICHMOND, VA 23233
Social Worker (Clinical)
3900 WESTERRE PKWY STE 300
RICHMOND, VA 23233

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 Rachelle Duncan's NPI number?

The NPI number for Rachelle Duncan is 1760298897. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Where is Rachelle Duncan located?

Rachelle Duncan practices at 3900 Westerre Pkwy Ste 300, Richmond, VA 23233. The listed phone number is (443) 383-9300.

What is Rachelle Duncan's specialty?

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

Is Rachelle Duncan enrolled in Medicare?

Yes. Rachelle Duncan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachelle Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachelle Duncan reassigns Medicare benefits to 2 organizations: Procare Wellness Network Inc (Virginia Beach, VA) and Consonant Healing Medical Associates (Silver Spring, MD). 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 Rachelle Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rachelle Duncan was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.