RAYCHELLE LANIER REBOLLAR FNP-C
NPI 1780279265
Nurse Practitioner - Family in Dallas, TX

Q: What is Raychelle Rebollar's NPI number?

The NPI number for Raychelle Rebollar is 1780279265. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Q: What is Raychelle Rebollar's specialty?

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

Active since March 05, 2021PECOS Enrolled

4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244(855) 984-5121 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2021, Mar 5, 2021 (2 updates tracked since 2021).

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About Raychelle Lanier Rebollar Fnp-c NPPES

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

RAYCHELLE LANIER REBOLLAR FNP-C (NPI 1780279265) is an individual family provider in Dallas, Texas, licensed in North Carolina (5014353) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780279265

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRAYCHELLE LANIER REBOLLARCredential: FNP-C

Location Address4055 VALLEY VIEW LN STE 700Dallas, TX 75244-5045

Mailing Address2914 Weathersby DrNew Bern, NC 28562-9825 · (252) 675-8977

Phone(855) 984-5121

Sole ProprietorNo

Enumeration DateMarch 5, 2021

Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration

NPPES CertifiedNovember 2, 2021

✔ NPI 1780279265 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 NC · 5014353

Also ListedRegistered NurseTaxonomy 163W00000X · License 208561 (NC)

4055 VALLEY VIEW LN STE 700, Dallas, TX 75244

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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 (PECOS)

Raychelle Lanier Rebollar Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75244 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.

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.

MS. ASHLYN E WILLIAMS FNP

Nurse Practitioner (Family)