RACHEL E BALLESTER CNM
NPI 1952747560
Advanced Practice Midwife in Pawtucket, RI
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 and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rachel E Ballester Cnm 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.
Medicare Billing Reassignment
Medicare enrollment records show Rachel Ballester reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pawtucket, RI 02860
- Reassigned Medicare billing, Rhode Island enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Rachel Ballester's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Ballester reassigns Medicare benefits to Blackstone Valley Community Health Care, Inc. (Pawtucket, RI). 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 Rachel Ballester's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 12 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.
# Rachel E Ballester, CNM · NPI 1952747560
Advanced Practice Midwife physician in Pawtucket, Rhode Island. Individual provider, active in the CMS NPPES registry since May 22, 2013.
## Identity
- **NPI:** 1952747560 (Entity type: Individual)
- **Enumerated:** May 22, 2013
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** RN2268435 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 39 EAST AVE, Pawtucket, RI 02860-4003
- **Phone:** (401) 722-0081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Blackstone Valley Community Health Care, Inc. (NPI 1063574135, Pawtucket, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952747560) · Data from the CMS NPPES public registry.