1. Home
  2. Directory
  3. New York
  4. Amherst
  5. Nurse Practitioner
  6. NPI Profile

RACHAEL RUPPERT PMHNP
NPI 1912570557
Nurse Practitioner - Psychiatric/Mental Health in Amherst, NY

Active since July 21, 2021PECOS Enrolled
1400 SWEET HOME RD STE 1&2, AMHERST, NY 14228(716) 449-0494(716) 985-9088 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, Feb 5, 2025, Nov 6, 2021 and 1 more (4 updates tracked since 2021).

About Rachael Ruppert Pmhnp NPPES

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

RACHAEL RUPPERT PMHNP (NPI 1912570557) is an individual psychiatric/mental health provider in Amherst, New York, licensed in New York (403501) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hamburg.

NPPES Registry Identity

NPI1912570557
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRACHAEL RUPPERTCredential: PMHNP
Location Address1400 SWEET HOME RD STE 1&2Amherst, NY 14228-2777
Mailing Address1400 Sweet Home Rd Ste 1&2Amherst, NY 14228-2777 · (716) 449-0494 · Fax (716) 627-5860
Phone(716) 449-0494
Fax(716) 985-9088
Sole ProprietorYes
Enumeration DateJuly 21, 2021
Last NPPES UpdateAugust 27, 20254 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1912570557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403501
1400 SWEET HOME RD STE 1&2, Amherst, NY 14228
Open in Google Maps ↗

Secondary Practice Location 1

Location 14535 Southwestern Blvd Ste 807Hamburg, NY 14075-1860 · Phone (716) 449-0494 · Fax (716) 985-9088

Other Identifiers 1

Medicaid1497828461NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael Ruppert Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Rachael Ruppert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harmonia Collaborative Care Inc
22 mi
Mental Health (Including Community Mental Health Center)
6722 ERIE RD
Derby, NY 14047
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1497828461 (716) 947-5025

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

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.

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.
47 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14228 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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 Rachael Ruppert's NPI number?

The NPI number for Rachael Ruppert is 1912570557. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Rachael Ruppert located?

Rachael Ruppert practices at 1400 Sweet Home Rd Ste 1&2, Amherst, NY 14228. The listed phone number is (716) 449-0494.

What is Rachael Ruppert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rachael Ruppert enrolled in Medicare?

Yes. Rachael Ruppert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachael Ruppert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Ruppert reassigns Medicare benefits to Harmonia Collaborative Care Inc (Derby, NY). The 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 Rachael Ruppert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Ruppert accept?

Health plans from Oscar Health list Rachael Ruppert 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 Rachael Ruppert was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.