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RACHEL E BALLESTER CNM
NPI 1952747560
Advanced Practice Midwife in Pawtucket, RI

Active since May 22, 2013PECOS Enrolled
39 EAST AVE, PAWTUCKET, RI 02860(401) 722-0081 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2016, Jan 11, 2016 (2 updates tracked since 2016).

About Rachel E Ballester Cnm NPPES

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

RACHEL E BALLESTER CNM (NPI 1952747560) is an individual advanced practice midwife in Pawtucket, Rhode Island, licensed in Massachusetts (RN2268435) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952747560
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameRACHEL E BALLESTERCredential: CNM
Location Address39 EAST AVEPawtucket, RI 02860-4003
Mailing Address39 East AvePawtucket, RI 02860-4003 · (401) 722-0081
Phone(401) 722-0081
Sole ProprietorNo
Enumeration DateMay 22, 2013
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1952747560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in MA · RN2268435
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
39 EAST AVE, Pawtucket, RI 02860
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel E Ballester Cnm 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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.

PRISCILLA K CUNHA RN
Registered Nurse (Case Management)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 312-0502
CARDINAL HEALTH 132, LLC
Pharmacy (Community/Retail Pharmacy)
39 EAST AVE, SUITE 100
PAWTUCKET, RI 02860
Providence County (401) 642-2093
BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 312-9892
KELSEY OKOLOWITCZ MA, LMHC
Counselor (Mental Health)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 312-9843
RODOLFO M GALINATTI PA-C
Physician Assistant (Medical)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 729-0080
NICOLE SNAPPER
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081
PHILOMENE FORTES
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081
MS. ANNE BARYLICK FNP-BC
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081

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 Ballester's NPI number?

The NPI number for Rachel Ballester is 1952747560. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Rachel Ballester located?

Rachel Ballester practices at 39 East Ave, Pawtucket, RI 02860. The listed phone number is (401) 722-0081.

What is Rachel Ballester's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Rachel Ballester enrolled in Medicare?

Yes. Rachel Ballester is registered in the Medicare PECOS enrollment system.

What insurance does Rachel Ballester accept?

Health plans from UnitedHealthcare list Rachel Ballester 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 Rachel Ballester was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.