RACHEL MARIE SUPPLE PA-C
NPI 1821642455
Physician Assistant - Surgical in Evanston, IL
About Rachel Marie Supple Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL MARIE SUPPLE PA-C (NPI 1821642455) is an individual surgical provider in Evanston, Illinois, licensed in Illinois (085007211) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rachel Marie Supple Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
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 Supple's NPI number?
The NPI number for Rachel Supple is 1821642455. It was assigned to this individual provider in the NPPES registry on July 31, 2019.
Where is Rachel Supple located?
Rachel Supple practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 570-2000.
What is Rachel Supple's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Rachel Supple enrolled in Medicare?
Yes. Rachel Supple is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rachel Supple was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Rachel Marie Supple, PA-C · NPI 1821642455
Surgical physician in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since July 31, 2019.
## Identity
- **NPI:** 1821642455 (Entity type: Individual)
- **Enumerated:** July 31, 2019
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 085007211 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2650 RIDGE AVE, Evanston, IL 60201-1700
- **Phone:** (847) 570-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821642455) · Data from the CMS NPPES public registry.