RACHEL M WAHLBERG PA-C
NPI 1942506936
Physician Assistant - Medical in Edina, MN

Active since February 08, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6401 FRANCE AVE S, EDINA, MN 55435(952) 924-5100 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2021, Jul 10, 2017 (2 updates tracked since 2017).

About Rachel M Wahlberg Pa-c NPPES

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

RACHEL M WAHLBERG PA-C (NPI 1942506936) is an individual medical provider in Edina, Minnesota and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942506936
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRACHEL M WAHLBERGCredential: PA-C
Location Address6401 FRANCE AVE SEdina, MN 55435-2104
Mailing Address6401 France Ave SEdina, MN 55435-2104
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 8, 2011
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1942506936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
6401 FRANCE AVE S, Edina, MN 55435

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 M Wahlberg Pa-c 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 ID345426896
PECOS Enrollment IDI20110517000593
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.

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.
89 services87 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.
85 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
26 services26 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
20 suppliers202 claims202 services$33.84 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers108 claims108 services$72.59 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers101 claims289 services$28.05 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers89 claims490 services$15.41 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers43 claims224 services$12.27 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers143 claims143 services$44.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
6401 FRANCE AVE S
EDINA, MN 55435
Physical Therapist
6401 FRANCE AVE S, REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
EDINA, MN 55435
Nurse Practitioner (Acute Care)
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hospitalist
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435

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 Wahlberg's NPI number?

The NPI number for Rachel Wahlberg is 1942506936. It was assigned to this individual provider in the NPPES registry on February 8, 2011.

Where is Rachel Wahlberg located?

Rachel Wahlberg practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5100.

What is Rachel Wahlberg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Rachel Wahlberg enrolled in Medicare?

Yes. Rachel Wahlberg 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 Wahlberg accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Rachel Wahlberg 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 Wahlberg affiliated with any hospitals?

According to CMS data, Rachel Wahlberg is affiliated with Allina United Hospital and St Francis Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Wahlberg was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.