RACHEL ANNE JAMES
NPI 1891364782
Clinical Nurse Specialist - Adult Health in Rochester, NY

Active since June 23, 2021PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
1000 SOUTH AVE, ROCHESTER, NY 14620(585) 313-9485 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2023, Jun 23, 2021 (2 updates tracked since 2021).

About Rachel Anne James NPPES

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

RACHEL ANNE JAMES (NPI 1891364782) is an individual adult health provider in Rochester, New York, licensed in New York (310267) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891364782
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameRACHEL ANNE JAMES
Location Address1000 SOUTH AVERochester, NY 14620-2782
Mailing Address1000 South AveRochester, NY 14620-2733 · (585) 313-9485
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 23, 2021
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
NPI 1891364782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License Licensed in NY · 310267
Also ListedInternal MedicineTaxonomy 207R00000X · License 310267 (NY)
1000 SOUTH AVE, Rochester, NY 14620

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 Anne James 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 ID6002210580
PECOS Enrollment IDI20210805000354
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

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 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.
249 services65 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

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.

Pharmacist
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE, BOX 95
ROCHESTER, NY 14620
Obstetrics & Gynecology
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE
ROCHESTER, NY 14620
Nurse Practitioner (Gerontology)
1000 SOUTH AVE
ROCHESTER, NY 14620
Internal Medicine
1000 SOUTH AVE
ROCHESTER, NY 14620
Specialist
1000 SOUTH AVE, # 95
ROCHESTER, NY 14620
Nurse Anesthetist, Certified Registered
1000 SOUTH AVE
ROCHESTER, NY 14620

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 James's NPI number?

The NPI number for Rachel James is 1891364782. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Rachel James located?

Rachel James practices at 1000 South Ave, Rochester, NY 14620. The listed phone number is (585) 313-9485.

What is Rachel James's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Rachel James enrolled in Medicare?

Yes. Rachel James 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 Rachel James affiliated with any hospitals?

According to CMS data, Rachel James is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rachel James was last updated on July 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.