RACQUEL MONROE FNP
NPI 1861948150
Nurse Practitioner - Family in Johnstown, NY

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment
70.44/100
CMS Quality Rating
434 S KINGSBORO AVE STE 102, JOHNSTOWN, NY 12095(518) 773-4242(518) 773-4246 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 25, 2022, Aug 29, 2016, Aug 28, 2016 (3 updates tracked since 2016).

About Racquel Monroe Fnp NPPES

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

RACQUEL MONROE FNP (NPI 1861948150) is an individual family provider in Johnstown, New York, licensed in New York (340964) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861948150
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACQUEL MONROECredential: FNP
Location Address434 S KINGSBORO AVE STE 102Johnstown, NY 12095-3822
Mailing Address5010 State Highway 30 Ste 205Amsterdam, NY 12010-7532 · (518) 842-2663 · Fax (518) 842-4861
Fax(518) 773-4246
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 28, 2016
Last NPPES UpdateOctober 25, 20223 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1861948150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NY · 340964 Licensed in NY · F340964
434 S KINGSBORO AVE STE 102, Johnstown, NY 12095

Other Names 1

Former Name (1)Racquel Ryan

Other Identifiers 1

Medicaid02049750NY

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

Racquel Monroe Fnp 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 ID8628356425
PECOS Enrollment IDI20161029000394
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,375 services121 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
229 services104 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
145 services115 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services63 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
53 services40 patients
X-ray of both knees while standing 73565
An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
38 services38 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330276
Location99 East State StreetGloversville, NY 12078 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12095 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

70.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.86
Improvement Activities40
Cost35.67

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 Racquel Monroe's NPI number?

The NPI number for Racquel Monroe is 1861948150. It was assigned to this individual provider in the NPPES registry on August 28, 2016. The provider is also known as Racquel Ryan.

Where is Racquel Monroe located?

Racquel Monroe practices at 434 S Kingsboro Ave Ste 102, Johnstown, NY 12095. The listed phone number is (518) 773-4242.

What is Racquel Monroe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Racquel Monroe enrolled in Medicare?

Yes. Racquel Monroe 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.

Is Racquel Monroe affiliated with any hospitals?

According to CMS data, Racquel Monroe is affiliated with St Mary's Healthcare and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Racquel Monroe was last updated on October 25, 2022. 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.