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RACHEL MARIE EFFERTZ FNP-C
NPI 1871024711
Nurse Practitioner - Family in Overland Park, KS

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
6351 W 110TH ST, OVERLAND PARK, KS 66211(816) 309-7372(913) 359-6519 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2026, Jan 7, 2026, Jun 3, 2025 and 2 more (5 updates tracked since 2017).

About Rachel Marie Effertz Fnp-c NPPES

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

RACHEL MARIE EFFERTZ FNP-C (NPI 1871024711) is an individual family provider in Overland Park, Kansas, licensed in Missouri (2017003584) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Research Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871024711
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL MARIE EFFERTZCredential: FNP-C
Location Address6351 W 110TH STOverland Park, KS 66211-1509
Mailing Address6351 W 110th StOverland Park, KS 66211-1509 · (913) 359-6519 · Fax (913) 359-6519
Phone(816) 309-7372
Fax(913) 359-6519
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2017
Last NPPES UpdateJanuary 29, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1871024711 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 MO · 2017003584✔ Licensed in KS · 53-77600-082
6351 W 110TH ST, Overland Park, KS 66211
Open in Google Maps ↗

Other Names 1

Former Name (1)Rachel M Paddock

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company, UnitedHealthcare.Insurance ›

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 Marie Effertz Fnp-c 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 ID5698050995
PECOS Enrollment IDI20170329001585, I20170329001801
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
173 services109 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Research Medical Center

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260027
Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County
Emergency services Birthing friendly

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66211 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%272 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$15.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$68.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN M BARRETT DNP,MSN,WHNP-BC
Nurse Practitioner (Women's Health)
6351 W 110TH ST
OVERLAND PARK, KS 66211
Johnson County (913) 232-9064
DR. PAUL MARTIN BARABAN D.D.S.
Dentist (General Practice)
6351 W 110TH ST
OVERLAND PARK, KS 66211
Johnson County (913) 451-8300

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 Effertz's NPI number?

The NPI number for Rachel Effertz is 1871024711. It was assigned to this individual provider in the NPPES registry on March 22, 2017. The provider is also known as Rachel M Paddock.

Where is Rachel Effertz located?

Rachel Effertz practices at 6351 W 110th St, Overland Park, KS 66211. The listed phone number is (816) 309-7372.

What is Rachel Effertz's specialty?

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

Is Rachel Effertz enrolled in Medicare?

Yes. Rachel Effertz 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.

What insurance does Rachel Effertz accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Rachel Effertz 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.

Is Rachel Effertz affiliated with any hospitals?

According to CMS data, Rachel Effertz is affiliated with Research Medical Center, Centerpoint Medical Center and North Kansas City Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Effertz was last updated on January 29, 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.