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RACHEL PUGHSLEY
NPI 1841602919
Emergency Medicine in Marshall, MI

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: October 25, 2026.

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

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 Brooks-tlc Hospital System, Inc, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Rachel Pughsley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wa Foote Memorial Hospital Inc.
28 mi
Dietitian, Registered
205 N EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: W.A. Foote Memorial Hospital
  • 474 clinicians in this Medicare group
NPI 1073955050 (517) 841-7878
Ascension Borgess Hospital
31 mi
Trauma Surgery
1535 GULL RD, SUITE 005
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 247 clinicians in this Medicare group
NPI 1336279827 (269) 226-6917
Mobile Physician Services PLLC
313 mi
Family Medicine
40 LA RIVIERE DR STE 201
Buffalo, NY 14202
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1194132415 (337) 991-9276
Physician Mobile Medical Care PC
313 mi
Internal Medicine
40 LA RIVIERE DR STE 500
Buffalo, NY 14202
  • Reassigned Medicare billing, New York enrollment
  • 127 clinicians in this Medicare group
NPI 1518765502 (337) 408-0797
University Emergency Medical Services Inc.
316 mi
Emergency Medicine
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 194 clinicians in this Medicare group
NPI 1972540482 (716) 389-3271

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 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

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

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
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 781-4271
ELLA E M BROWN CHARITABLE CIRCLE
Radiology (Diagnostic Radiology)
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 781-4271
MARY MARGARET JOHNSON MD
Internal Medicine
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 781-4271
JOSHUA RICH CRNA
Nurse Anesthetist, Certified Registered
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 781-4271
OAKLAWN HOSPITAL
Pharmacy (Institutional Pharmacy)
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 789-3905
ELLA E. M. BROWN CHARITABLE CIRCLE
Psychiatric Unit
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 789-3921
MRS. ANGELA LYNN EILER RPH
Pharmacist
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 214-0336
OBHG MICHIGAN - DIRECT PC
Obstetrics & Gynecology
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (864) 908-3530

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 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.

Where is Rachel Pughsley located?

Rachel Pughsley practices at 200 N Madison St, Marshall, MI 49068. The listed phone number is (269) 781-4271.

What is Rachel Pughsley's specialty?

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

Is Rachel Pughsley enrolled in Medicare?

Yes. Rachel Pughsley 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 Pughsley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Pughsley reassigns Medicare benefits to 5 organizations: Wa Foote Memorial Hospital Inc. (Jackson, MI), Ascension Borgess Hospital (Kalamazoo, MI), Mobile Physician Services PLLC (Buffalo, NY), Physician Mobile Medical Care PC (Buffalo, NY) and University Emergency Medical Services Inc. (Buffalo, NY). 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 Pughsley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rachel Pughsley affiliated with any hospitals?

According to CMS data, Rachel Pughsley is affiliated with Brooks-Tlc Hospital System, Inc.

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 6 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.