RACHEAL E. BINGHAM NP
NPI 1831425693
Nurse Practitioner - Pediatrics in Houston, TX

Active since October 28, 2009PECOS Enrolled
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2019, Jun 23, 2017 (2 updates tracked since 2017).

About Racheal E. Bingham Np NPPES

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

RACHEAL E. BINGHAM NP (NPI 1831425693) is an individual pediatrics provider in Houston, Texas, licensed in Texas (AP11849) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831425693
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameRACHEAL E. BINGHAMCredential: NP
Location Address1515 HOLCOMBE BLVDHouston, TX 77030
Mailing Address14434 Chartley Falls DrHouston, TX 77044 · (713) 471-9121
Sole ProprietorNo
Enumeration DateOctober 28, 2009
Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
✔ NPI 1831425693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · AP11849
Also ListedRegistered NurseTaxonomy 163W00000X · License 691424 (TX)
Also ListedDriverTaxonomy 172A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP118149 (TX)
1515 HOLCOMBE BLVD, Houston, TX 77030

Other Identifiers 4

Medicaid207746306TX
Other809N00TX · Bcbs
Other207746307TX · Cshcn
Medicaid207746301TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Racheal E. Bingham Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Racheal Bingham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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.

Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030

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 Racheal Bingham's NPI number?

The NPI number for Racheal Bingham is 1831425693. It was assigned to this individual provider in the NPPES registry on October 28, 2009.

Where is Racheal Bingham located?

Racheal Bingham practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Racheal Bingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Racheal Bingham enrolled in Medicare?

Yes. Racheal Bingham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Racheal Bingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Racheal Bingham reassigns Medicare benefits to 2 organizations: Physicians Referral Service (Houston, TX) and Texas Children's Physician Group (Houston, TX). 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 Racheal Bingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Racheal Bingham accept?

Health plans from Moda Health Plan, Inc. list Racheal Bingham 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.

When was this NPI record last updated?

The NPPES record for Racheal Bingham was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.