DR. RACHELENE MIDDLETON MD
NPI 1972511020
Family Medicine in Nixa, MO
About Dr. Rachelene Middleton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RACHELENE MIDDLETON MD (NPI 1972511020) is an individual family medicine provider in Nixa, Missouri, licensed in Missouri (2002005851) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Other Identifiers 3
Accepted 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
Dr. Rachelene Middleton Md 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Springfield
Acute Care Hospitals · Springfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NIXA, MO 65714
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 Rachelene Middleton's NPI number?
The NPI number for Rachelene Middleton is 1972511020. It was assigned to this individual provider in the NPPES registry on August 4, 2006.
Where is Rachelene Middleton located?
Rachelene Middleton practices at 940 W Mount Vernon St, Nixa, MO 65714. The listed phone number is (417) 724-5200.
What is Rachelene Middleton's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rachelene Middleton enrolled in Medicare?
Yes. Rachelene Middleton 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 Rachelene Middleton accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Rachelene Middleton 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 Rachelene Middleton affiliated with any hospitals?
According to CMS data, Rachelene Middleton is affiliated with Mercy Hospital Springfield.
When was this NPI record last updated?
The NPPES record for Rachelene Middleton was last updated on May 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.
