RACHEL FRANCES DOWNING
NPI 1942830278
Nurse Practitioner - Acute Care in Birmingham, AL

Q: What is Rachel Downing's NPI number?

The NPI number for Rachel Downing is 1942830278. It was assigned to this individual provider in the NPPES registry on January 26, 2020.

Q: What is Rachel Downing's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Downing was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 26, 2020PECOS EnrolledAccepts Medicare Assignment

1720 2ND AVE S # THT422, BIRMINGHAM, AL 35294(205) 934-3411 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2020, Jan 26, 2020 (2 updates tracked since 2020).

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About Rachel Frances Downing NPPES

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

RACHEL FRANCES DOWNING (NPI 1942830278) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-180481) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942830278

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameRACHEL FRANCES DOWNING

Location Address1720 2ND AVE S # THT422Birmingham, AL 35294-1538

Mailing Address1329 33rd St S Apt A1Birmingham, AL 35205-1434 · (251) 533-8780

Phone(205) 934-3411

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 26, 2020

Last NPPES UpdateJune 29, 20232 updates tracked since enumeration

NPPES CertifiedNovember 11, 2020

✔ NPI 1942830278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AL · 1-180481

1720 2ND AVE S # THT422, Birmingham, AL 35294

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Secondary Practice Locations 2

Location 12300 Patterson StNashville, TN 37203-1538 · Phone (615) 342-1000

Location 21720 2nd Ave SouthBirmingham, AL 35214 · Phone (251) 533-8780

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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 Frances Downing 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 ID9931520848

PECOS Enrollment IDI20200602000453

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

33 services33 patients

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.

24 services20 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.

20 services20 patients

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.

16 services15 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35294 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOE W. CHILES III MD

Internal Medicine (Pulmonary Disease)