RACHEL DERUSHA APNP
NPI 1922589308
Nurse Practitioner in Eau Claire, WI

Active since August 24, 2018PECOS EnrolledAccepts Medicare Assignment
1221 WHIPPLE ST, EAU CLAIRE, WI 54703(715) 838-3350 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2021, Sep 11, 2020, Sep 6, 2018 and 1 more (4 updates tracked since 2018).

About Rachel Derusha Apnp NPPES

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

RACHEL DERUSHA APNP (NPI 1922589308) is an individual nurse practitioner in Eau Claire, Wisconsin, licensed in Wisconsin (8640-33) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1922589308
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL DERUSHACredential: APNP
Location Address1221 WHIPPLE STEau Claire, WI 54703
Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 24, 2018
Last NPPES UpdateSeptember 8, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
NPI 1922589308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 8640-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1221 WHIPPLE ST, Eau Claire, WI 54703

Accepted 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 Derusha Apnp 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 ID4587915780
PECOS Enrollment IDI20180927001827
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 5

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.
89 services61 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.
71 services69 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
63 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services48 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
46 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Mayo Clinic Health System Oakridge

Critical Access Hospitals · Osseo, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number521302
Location13025 8th StOsseo, WI 54758 · Trempealeau County
Emergency services

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521314
Location1501 Thompson StBloomer, WI 54724 · Chippewa County
Emergency services

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521315
Location1222 E Woodland AveBarron, WI 54812 · Barron County
Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521340
Location2321 Stout RdMenomonie, WI 54751 · Dunn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54703 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Nurse Anesthetist, Certified Registered
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Nurse Anesthetist, Certified Registered
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Nurse Anesthetist, Certified Registered
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Nurse Practitioner
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Anesthesiology
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Occupational Therapist
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Nurse Anesthetist, Certified Registered
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Anesthesiology
1221 WHIPPLE ST
EAU CLAIRE, WI 54703

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 Derusha's NPI number?

The NPI number for Rachel Derusha is 1922589308. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Rachel Derusha located?

Rachel Derusha practices at 1221 Whipple St, Eau Claire, WI 54703. The listed phone number is (715) 838-3350.

What is Rachel Derusha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachel Derusha enrolled in Medicare?

Yes. Rachel Derusha 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 Derusha accept?

Health plans from Medica list Rachel Derusha 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 Derusha affiliated with any hospitals?

According to CMS data, Rachel Derusha is affiliated with Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Health System Oakridge, Mayo Clinic Health System Chippewa Valley, Mayo Clinic Health System-Northland and Mayo Clinic Health System-Red Cedar Inc.

When was this NPI record last updated?

The NPPES record for Rachel Derusha was last updated on September 8, 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.