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RACHEL L HEFT NP
NPI 1760846414
Nurse Practitioner - Family in Troy, IL

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
535 EDWARDSVILLE RD STE 230, TROY, IL 62294(309) 634-9493(618) 247-4492 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 14, 2026, Nov 1, 2021, Jul 9, 2021 and 1 more (4 updates tracked since 2021).

About Rachel L Heft Np NPPES

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

RACHEL L HEFT NP (NPI 1760846414) is an individual family provider in Troy, Illinois, licensed in Illinois (209014148) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760846414
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL L HEFTCredential: NP
Location Address535 EDWARDSVILLE RD STE 230Troy, IL 62294-1399
Mailing Address535 Edwardsville Rd Ste 230Troy, IL 62294-1399 · (309) 634-9493 · Fax (618) 247-4492
Phone(309) 634-9493
Fax(618) 247-4492
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2016
Last NPPES UpdateJanuary 14, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1760846414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209014148
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2016007952 (MO)
535 EDWARDSVILLE RD STE 230, Troy, IL 62294
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 L Heft Np 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 ID5991098667
PECOS Enrollment IDI20160719001647
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

5

Medicare enrollment records show Rachel Heft reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anderson Medical Group, LLC
2.9 mi
General Practice
6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
NPI 1700807716 (618) 288-5711
Southern Illinois Internal Medicine Ltd
14 mi
Internal Medicine
4600 MEMORIAL DRIVE, SUITE 310
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1376630103 (618) 235-8720
Carlinville Area Hospital Association
28 mi
Rural Health
807 BROADWAY ST
Gillespie, IL 62033
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1053425124 (Illinois)
  • 78 clinicians in this Medicare group
NPI 1295518769 (217) 854-3900
Hillsboro Area Hospital, Inc.
37 mi
Critical Access
1200 E TREMONT ST
Hillsboro, IL 62049
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1821078213 (Illinois)
  • 59 clinicians in this Medicare group
NPI 1194705210 (217) 532-6111
Telemedico Physicians Sc
263 mi
Cardiovascular Disease
3330 SKOKIE VALLEY RD STE 200
Highland Park, IL 60035
  • Reassigned Medicare billing, Illinois enrollment
  • 21 clinicians in this Medicare group
NPI 1912368150 (847) 386-7744

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 8

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 moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
509 services253 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
361 services227 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.
161 services115 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
112 services53 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
69 services69 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
51 services51 patients

Hospital Affiliations CMS Care Compare 4

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

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

Hillsboro Area Hospital

Critical Access Hospitals · Hillsboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141332
Location1200 E Tremont StreetHillsboro, IL 62049 · Montgomery County
Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62294 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 2

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

TRUE WELLNESS LLC
Clinic/Center
535 EDWARDSVILLE RD STE 230
TROY, IL 62294
Madison County (636) 345-2159
TRUE WELLNESS PHYSICAL THERAPY AND PERFORMANCE LLC
Clinic/Center (Physical Therapy)
535 EDWARDSVILLE RD STE 230
TROY, IL 62294
Madison County (636) 345-2159

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 Heft's NPI number?

The NPI number for Rachel Heft is 1760846414. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Rachel Heft located?

Rachel Heft practices at 535 Edwardsville Rd Ste 230, Troy, IL 62294. The listed phone number is (309) 634-9493.

What is Rachel Heft's specialty?

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

Is Rachel Heft enrolled in Medicare?

Yes. Rachel Heft 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 Heft's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Heft reassigns Medicare benefits to 5 organizations: Anderson Medical Group, LLC (Maryville, IL), Southern Illinois Internal Medicine Ltd (Belleville, IL), Carlinville Area Hospital Association (Gillespie, IL), Hillsboro Area Hospital, Inc. (Hillsboro, IL) and Telemedico Physicians Sc (Highland Park, IL). 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 Heft's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Heft accept?

Health plans from Anthem Blue Cross and Blue Shield list Rachel Heft 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 Heft affiliated with any hospitals?

According to CMS data, Rachel Heft is affiliated with Hshs Holy Family Hospital Inc, Hillsboro Area Hospital, Fayette County Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Heft was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.