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RACHEL BALCOURT APRN
NPI 1972356913
Nurse Practitioner - Pediatrics in Summersville, WV

Active since April 09, 2024PECOS Enrolled
131 WELLNESS DR, SUMMERSVILLE, WV 26651(888) 736-3229(304) 872-1685 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rachel Balcourt Aprn NPPES

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

RACHEL BALCOURT APRN (NPI 1972356913) is an individual pediatrics provider in Summersville, West Virginia, licensed in West Virginia (114485) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972356913
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameRACHEL BALCOURTCredential: APRN
Location Address131 WELLNESS DRSummersville, WV 26651-5402
Mailing Address131 Wellness DrSummersville, WV 26651-5402 · (888) 736-3229 · Fax (304) 872-5415
Phone(888) 736-3229
Fax(304) 872-1685
Sole ProprietorNo
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1972356913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WV · 114485
131 WELLNESS DR, Summersville, WV 26651
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Balcourt Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Rachel Balcourt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seneca Health Services, Inc.
37 mi
Mental Health (Including Community Mental Health Center)
804 INDUSTRIAL PARK RD
Maxwelton, WV 24957
  • Reassigned Medicare billing, West Virginia enrollment
  • 21 clinicians in this Medicare group
NPI 1154532513 (304) 497-0500

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 26651 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 20

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

NATHANIEL KAY TAYLOR
Behavior Technician
131 WELLNESS DR
SUMMERSVILLE, WV 26651
Nicholas County (888) 738-3229
KATELYN R BUZZO PRSS
Peer Specialist
131 WELLNESS DR
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-6503
LINDSEY ROSE CHERILLA
Counselor
131 WELLNESS DR
SUMMERSVILLE, WV 26651
Nicholas County (888) 736-3229
KATHY VANMETER
Peer Specialist
131 WELLNESS DR
SUMMERSVILLE, WV 26651
Nicholas County (888) 736-3229
SYDNEY CAMILLE BOSTIC LPN
Licensed Practical Nurse
131 WELLNESS DR
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-2659
SENECA HEALTH SERVICES, INC.
Community/Behavioral Health
131 WELLNESS DR
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-6503
ERICA HANNA
Social Worker (Clinical)
131 WELLNESS DR
SUMMERSVILLE, WV 26651
Nicholas County (304) 497-0500
GALINA OSSIPOV
Registered Nurse
131 WELLNESS DR
SUMMERSVILLE, WV 26651
Nicholas County (304) 736-3229

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 Balcourt's NPI number?

The NPI number for Rachel Balcourt is 1972356913. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Rachel Balcourt located?

Rachel Balcourt practices at 131 Wellness Dr, Summersville, WV 26651. The listed phone number is (888) 736-3229.

What is Rachel Balcourt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Rachel Balcourt enrolled in Medicare?

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

Which organization bills Medicare for Rachel Balcourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Balcourt reassigns Medicare benefits to Seneca Health Services, Inc. (Maxwelton, WV). 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 Balcourt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Balcourt accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Rachel Balcourt 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 Balcourt was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.