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RACHEL E FOUSE NP
NPI 1891329728
Nurse Practitioner - Family in Tyler, TX

Active since February 29, 2020PECOS EnrolledAccepts Medicare Assignment
323 S FANNIN AVE, TYLER, TX 75702(903) 531-9835 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 2, 2025, Oct 5, 2020, Feb 29, 2020 (3 updates tracked since 2020).

About Rachel E Fouse Np NPPES

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

RACHEL E FOUSE NP (NPI 1891329728) is an individual family provider in Tyler, Texas, licensed in Texas (AP144724) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1891329728
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL E FOUSECredential: NP
Location Address323 S FANNIN AVETyler, TX 75702-7321
Mailing Address515 W 5th StTyler, TX 75701-4013
Phone(903) 531-9835
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 29, 2020
Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1891329728 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 TX · AP144724
323 S FANNIN AVE, Tyler, TX 75702
Open in Google Maps ↗

Secondary Practice Location 1

Location 11720 S Beckham Ave Ste 104Tyler, TX 75701-4437 · Phone (903) 597-2002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, 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 E Fouse Np 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 ID547689721
PECOS Enrollment IDI20201008000480
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 2

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.

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.
34 services24 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Fouse's NPI number?

The NPI number for Rachel Fouse is 1891329728. It was assigned to this individual provider in the NPPES registry on February 29, 2020.

Where is Rachel Fouse located?

Rachel Fouse practices at 323 S Fannin Ave, Tyler, TX 75702. The listed phone number is (903) 531-9835.

What is Rachel Fouse's specialty?

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

Is Rachel Fouse enrolled in Medicare?

Yes. Rachel Fouse 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 Fouse accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Rachel Fouse 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 Fouse affiliated with any hospitals?

According to CMS data, Rachel Fouse is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Fouse was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.