RACHEL A PELTO ARNP
NPI 1760719108
Nurse Practitioner - Women's Health in Seattle, WA

Active since November 05, 2009PECOS EnrolledAccepts Medicare Assignment
1101 MADISON ST STE 1150, SEATTLE, WA 98104(206) 386-3400(206) 386-3411 Get Directions Write a Review

NPPES record last updated: November 5, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rachel A Pelto Arnp NPPES

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

RACHEL A PELTO ARNP (NPI 1760719108) is an individual women's health provider in Seattle, Washington, licensed in Washington (AP60119761) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1760719108
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameRACHEL A PELTOCredential: ARNP
Location Address1101 MADISON ST STE 1150Seattle, WA 98104-3558
Mailing Address1101 Madison St Ste 1150Seattle, WA 98104-3558 · (206) 386-3400 · Fax (206) 386-3411
Fax(206) 386-3411
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 5, 2009
✔ NPI 1760719108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WA · AP60119761
1101 MADISON ST STE 1150, Seattle, WA 98104

Other Identifiers 1

OtherAP60119761WA · Wa State Arnp License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel A Pelto Arnp 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 ID6002139250
PECOS Enrollment IDI20141219001863
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 Rachel Pelto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
1101 MADISON ST STE 950
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 589 clinicians in this Medicare group
Obstetrics & Gynecology
1101 MADISON ST STE 1150
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Womens Healthcare Alliance PLLC
  • 16 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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 16

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

Obstetrics & Gynecology
1101 MADISON ST STE 1150
SEATTLE, WA 98104
Obstetrics & Gynecology
1101 MADISON ST STE 1150
SEATTLE, WA 98104
Obstetrics & Gynecology (Obstetrics)
1101 MADISON ST STE 1150
SEATTLE, WA 98104
Obstetrics & Gynecology
1101 MADISON ST STE 1150
SEATTLE, WA 98104
Obstetrics & Gynecology
1101 MADISON ST STE 1150
SEATTLE, WA 98104
Obstetrics & Gynecology
1101 MADISON ST STE 1150
SEATTLE, WA 98104
Nurse Practitioner (Women's Health)
1101 MADISON ST STE 1150
SEATTLE, WA 98104
Obstetrics & Gynecology
1101 MADISON ST STE 1150
SEATTLE, WA 98104

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 Pelto's NPI number?

The NPI number for Rachel Pelto is 1760719108. It was assigned to this individual provider in the NPPES registry on November 5, 2009.

Where is Rachel Pelto located?

Rachel Pelto practices at 1101 Madison St Ste 1150, Seattle, WA 98104. The listed phone number is (206) 386-3400.

What is Rachel Pelto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Rachel Pelto enrolled in Medicare?

Yes. Rachel Pelto 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.

Which organizations bill Medicare for Rachel Pelto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Pelto reassigns Medicare benefits to 2 organizations: Proliance Surgeons, Inc., P.S. (Seattle, WA) and Women's Healthcare Alliance PLLC (Seattle, WA). 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 Rachel Pelto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Pelto accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rachel Pelto 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 Rachel Pelto affiliated with any hospitals?

According to CMS data, Rachel Pelto is affiliated with Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Pelto was last updated on November 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.