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RAQUEL ROTHER
NPI 1891356978
Nurse Practitioner - Family in San Antonio, TX

Active since June 27, 2019PECOS Enrolled
19026 RIDGEWOOD PKWY, SAN ANTONIO, TX 78259(210) 880-2982 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 19, 2020, Dec 2, 2019 (2 updates tracked since 2019).

About Raquel Rother NPPES

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

RAQUEL ROTHER (NPI 1891356978) is an individual family provider in San Antonio, Texas, licensed in Texas (AP140589) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891356978
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAQUEL ROTHER
Location Address19026 RIDGEWOOD PKWYSan Antonio, TX 78259-7647
Mailing Address19026 Ridgewood Pkwy, Ste 311San Antonio, TX 78259-5502 · (833) 210-4673
Phone(210) 880-2982
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2019
Last NPPES UpdateFebruary 19, 20202 updates tracked since enumeration
✔ NPI 1891356978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP140589
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP140589 (TX)
19026 RIDGEWOOD PKWY, San Antonio, TX 78259
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raquel Rother is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284067281
PECOS Enrollment IDI20191205000947
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

2

Medicare enrollment records show Raquel Rother reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lhcg Cxxxi, LLC
9.4 mi
Nurse Practitioner
5253 PRUE RD STE 100C, BUILDING 1
San Antonio, TX 78240
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1043774383 (210) 750-8100
Sinus & Allergy Specialists Of Texas
65 mi
Allergy & Immunology
5929 BALCONES DR STE 200
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
NPI 1639510803 (512) 550-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78259 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 Raquel Rother's NPI number?

The NPI number for Raquel Rother is 1891356978. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Raquel Rother located?

Raquel Rother practices at 19026 Ridgewood Pkwy, San Antonio, TX 78259. The listed phone number is (210) 880-2982.

What is Raquel Rother's specialty?

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

Is Raquel Rother enrolled in Medicare?

Yes. Raquel Rother is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raquel Rother's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Rother reassigns Medicare benefits to 2 organizations: Lhcg Cxxxi, LLC (San Antonio, TX) and Sinus & Allergy Specialists Of Texas (Austin, TX). 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 Raquel Rother's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raquel Rother accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Raquel Rother 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 Raquel Rother was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.