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RACHEL NICOLE NYGAARD CRNP
NPI 1871263202
Nurse Practitioner - Family in Foley, AL

Active since September 16, 2021PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
1613 N MCKENZIE ST, FOLEY, AL 36535(251) 949-3710(251) 949-3715 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rachel Nicole Nygaard Crnp NPPES

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

RACHEL NICOLE NYGAARD CRNP (NPI 1871263202) is an individual family provider in Foley, Alabama, licensed in Alabama (1-095152) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871263202
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL NICOLE NYGAARDCredential: CRNP
Location Address1613 N MCKENZIE STFoley, AL 36535-2247
Mailing Address9018 Feather TrlFairhope, AL 36532-3681
Phone(251) 949-3710
Fax(251) 949-3715
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1871263202 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
License✔ Licensed in AL · 1-095152
1613 N MCKENZIE ST, Foley, AL 36535
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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 Nicole Nygaard Crnp 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 ID5496143497
PECOS Enrollment IDI20211025001532
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.

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.
285 services112 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.
113 services106 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.
56 services31 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.
39 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36535 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

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.

DR. JOHN J CAMPBELL M.D.
Radiology (Diagnostic Radiology)
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-1513
MRS. SHARON ELAINE CHRISTOPHER CRNA
Nurse Anesthetist, Certified Registered
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 971-1028
GRACE ANN RILEY DOUCET
Student in an Organized Health Care Education/Training Program
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
M AND M ANESTHESIOLOGY PA
Anesthesiology
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
IES ALABAMA PLLC
Emergency Medicine
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3540
FOLEY HOSPITAL COMPANY LLC
General Acute Care Hospital
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
SOUTH BALDWIN DIAGNOSTIC IMAGINE ASSOCIATES, P.C.
Specialist
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-1513
MARK T. KNOWER M.D.
Internal Medicine (Pulmonary Disease)
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3710

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 Nygaard's NPI number?

The NPI number for Rachel Nygaard is 1871263202. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Rachel Nygaard located?

Rachel Nygaard practices at 1613 N Mckenzie St, Foley, AL 36535. The listed phone number is (251) 949-3710.

What is Rachel Nygaard's specialty?

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

Is Rachel Nygaard enrolled in Medicare?

Yes. Rachel Nygaard 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 Nygaard accept?

Health plans from Blue Cross and Blue Shield of Alabama list Rachel Nygaard 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 Rachel Nygaard was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.