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RACHEL KILEY APNP
NPI 1790231348
Nurse Practitioner in Madison, WI

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
600 HIGHLAND AVE, MADISON, WI 53792(608) 915-0100 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2024, Sep 9, 2024, Oct 13, 2022 and 3 more (6 updates tracked since 2016).

About Rachel Kiley Apnp NPPES

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

RACHEL KILEY APNP (NPI 1790231348) is an individual nurse practitioner in Madison, Wisconsin, licensed in Wisconsin (6964-33) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790231348
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL KILEYCredential: APNP
Location Address600 HIGHLAND AVEMadison, WI 53792-1830
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 915-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 1, 2016
Last NPPES UpdateDecember 16, 20246 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1790231348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 6964-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17974 UW Health CtMiddleton, WI 53562-5531 · Phone (608) 829-5485
Location 22801 Crossroads DrMadison, WI 53718-7988 · Phone (608) 405-2501

Other Identifiers 1

Medicaid1790231348WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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 Kiley Apnp 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 ID4486940715
PECOS Enrollment IDI20160912002734
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 Kiley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dean Health Systems, Inc
2.3 mi
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
NPI 1053358846 (608) 252-8000
University Of Wisconsin Medical Foundation, Inc
5.0 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Memorial Hospital Of Lafayette County

Critical Access Hospitals · Darlington, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number521312
Location800 Clay StDarlington, WI 53530 · Lafayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Kiley's NPI number?

The NPI number for Rachel Kiley is 1790231348. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Rachel Kiley located?

Rachel Kiley practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 915-0100.

What is Rachel Kiley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachel Kiley enrolled in Medicare?

Yes. Rachel Kiley 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 Kiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Kiley reassigns Medicare benefits to 2 organizations: Dean Health Systems, Inc (Madison, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). 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 Kiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Kiley accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Rachel Kiley 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 Kiley affiliated with any hospitals?

According to CMS data, Rachel Kiley is affiliated with Unitypoint Health - Meriter, University Of Wi Hospitals & Clinics Authority and Memorial Hospital Of Lafayette County.

When was this NPI record last updated?

The NPPES record for Rachel Kiley was last updated on December 16, 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.