RACHEL PUGHSLEY
NPI 1841602919
Emergency Medicine in Marshall, MI

Q: What is Rachel Pughsley's NPI number?

The NPI number for Rachel Pughsley is 1841602919. It was assigned to this individual provider in the NPPES registry on May 23, 2014. The provider is also known as Rachel Helen Gooch.

Q: What is Rachel Pughsley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Pughsley was last updated on April 3, 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.

Active since May 23, 2014PECOS EnrolledAccepts Medicare Assignment

200 N MADISON ST, MARSHALL, MI 49068(269) 781-4271 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Sep 20, 2018, Oct 21, 2016 (3 updates tracked since 2016).

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About Rachel Pughsley NPPES

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

RACHEL PUGHSLEY (NPI 1841602919) is an individual emergency medicine provider in Marshall, Michigan, licensed in Michigan (5101021242) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Mount St. Mary's Hospital & Health Center, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1841602919

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameRACHEL PUGHSLEY

Location Address200 N MADISON STMarshall, MI 49068

Mailing Address726 Woodfield DrJackson, MI 49203-3929 · (716) 200-3302

Phone(269) 781-4271

Sole ProprietorNo

Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2014

Enumeration DateMay 23, 2014

Last NPPES UpdateApril 3, 20263 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1841602919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MI · 5101021242✔ Licensed in NY · 297389

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

200 N MADISON ST, Marshall, MI 49068

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Other Names 1

Former Name (1)Rachel Helen Gooch

Secondary Practice Location 1

Location 1205 N East AveJackson, MI 49201-1753 · Phone (517) 788-4800 ext. 3994 · Fax (517) 817-7050

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Pughsley 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 ID5092930339

PECOS Enrollment IDI20190607001942

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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

52 services51 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

25 services25 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

24 services23 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

21 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330188

Location5300 Military RoadLewiston, NY 14092 · Niagara County

Emergency services Birthing friendly

Brooks-Tlc Hospital System, Inc

Acute Care Hospitals · Dunkirk, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330229

Location529 Central AvenueDunkirk, NY 14048 · Chautauqua County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

MRS. MARLO ARVILLA KIRBY MSN, NP

Nurse Practitioner