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RACHEL GILLIAM APRN
NPI 1952877177
Nurse Practitioner - Family in Winchester, KY

Active since October 15, 2018PECOS EnrolledAccepts Medicare Assignment
225 HOSPITAL DR, BLDG B, STE 255, WINCHESTER, KY 40391(859) 744-2623(859) 744-9421 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2021, Jun 1, 2020, May 4, 2020 and 3 more (6 updates tracked since 2018).

About Rachel Gilliam Aprn NPPES

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

RACHEL GILLIAM APRN (NPI 1952877177) is an individual family provider in Winchester, Kentucky, licensed in Kentucky (3012659) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952877177
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL GILLIAMCredential: APRN
Location Address225 HOSPITAL DR, BLDG B, STE 255Winchester, KY 40391-7676
Mailing Address236 W Main StMount Sterling, KY 40353-1348 · (859) 404-7686 · Fax (859) 274-4312
Phone(859) 744-2623
Fax(859) 744-9421
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 15, 2018
Last NPPES UpdateMarch 31, 20216 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
✔ NPI 1952877177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3012659
225 HOSPITAL DR, Winchester, KY 40391
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100557170KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 Gilliam Aprn 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 ID6800149725
PECOS Enrollment IDI20181023002243
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.

Hospital Affiliations CMS Care Compare

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

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40391 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 16

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

WOMEN'S HEALTH OF WINCHESTER PSC
Obstetrics & Gynecology
225 HOSPITAL DR, BLDG B, STE 255
WINCHESTER, KY 40391
Clark County (859) 744-2623
MARK JOSEPH PASCUZZI M.D.
Obstetrics & Gynecology
225 HOSPITAL DR, BLDG B, STE 255
WINCHESTER, KY 40391
Clark County (859) 744-2623
MISS ALEXIS NOEL BUDINE-UTTER PA-C
Physician Assistant
225 HOSPITAL DR
WINCHESTER, KY 40391
Clark County (859) 737-6559
LAUREN F KOSTELNIK D.O.
Pediatrics
225 HOSPITAL DR, STE 200C
WINCHESTER, KY 40391
Clark County (859) 737-6481
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Internal Medicine (Gastroenterology)
225 HOSPITAL DR, SUITE 200B
WINCHESTER, KY 40391
Clark County (859) 737-6488
DR. ANDREA MICHELLE TUCKER M.D
Obstetrics & Gynecology
225 HOSPITAL DR, BLDG B, STE 255
WINCHESTER, KY 40391
Clark County (859) 744-2623
REBECCA DIANE BARTEE DO
Surgery
225 HOSPITAL DR
WINCHESTER, KY 40391
Clark County (859) 737-9900
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Internal Medicine (Cardiovascular Disease)
225 HOSPITAL DR, SUITE 300A
WINCHESTER, KY 40391
Clark County (859) 737-6555

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 Gilliam's NPI number?

The NPI number for Rachel Gilliam is 1952877177. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Rachel Gilliam located?

Rachel Gilliam practices at 225 Hospital Dr Bldg B, Ste 255, Winchester, KY 40391. The listed phone number is (859) 744-2623.

What is Rachel Gilliam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachel Gilliam enrolled in Medicare?

Yes. Rachel Gilliam 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 Gilliam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Rachel Gilliam 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 Gilliam affiliated with any hospitals?

According to CMS data, Rachel Gilliam is affiliated with Clark Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Gilliam was last updated on March 31, 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.