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MRS. RACHAEL BIERSCHENK ARNP
NPI 1972903169
Nurse Practitioner - Adult Health in Cumming, GA

Active since August 26, 2014PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
1505 NORTHSIDE BLVD STE 2000, CUMMING, GA 30041(770) 781-4010(770) 781-5334 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2025, Sep 4, 2018, Feb 23, 2016 (3 updates tracked since 2016).

About Mrs. Rachael Bierschenk Arnp NPPES

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

MRS. RACHAEL BIERSCHENK ARNP (NPI 1972903169) is an individual adult health provider in Cumming, Georgia, licensed in Georgia (APRN-NP252318) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1972903169
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. RACHAEL BIERSCHENKCredential: ARNP
Location Address1505 NORTHSIDE BLVD STE 2000Cumming, GA 30041
Mailing Address1355 Peachtree St Ne Ste 1600Atlanta, GA 30309-3276 · (678) 223-7774 · Fax (678) 223-7799
Phone(770) 781-4010
Fax(770) 781-5334
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2014
Enumeration DateAugust 26, 2014
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1972903169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · APRN-NP252318
1505 NORTHSIDE BLVD STE 2000, Cumming, GA 30041
Open in Google Maps ↗

Secondary Practice Location 1

Location 15671 Peachtree Dunwoody Rd, Suite 600Atlanta, GA 30342-5000 · Phone (404) 257-9000 · Fax (404) 847-9792

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Mrs. Rachael Bierschenk Arnp 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 ID1759502040
PECOS Enrollment IDI20160309002107
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
188 services118 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

Other Providers at the Same Location NPPES 4

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

DR. EDWARD CHRISTIAN CAMERON M.D.
Internal Medicine (Gastroenterology)
1505 NORTHSIDE BLVD STE 2000
CUMMING, GA 30041
Forsyth County (404) 561-1060
DR. SAGAR GARUD MD
Internal Medicine (Gastroenterology)
1505 NORTHSIDE BLVD STE 2000
CUMMING, GA 30041
Forsyth County (770) 781-4010
MRS. HANNAH ELISABETH RAINES PAC
Physician Assistant
1505 NORTHSIDE BLVD STE 2000
CUMMING, GA 30041
Forsyth County (770) 781-4010
BHARGAVI MANTHA PAC
Physician Assistant
1505 NORTHSIDE BLVD STE 2000
CUMMING, GA 30041
Forsyth County (770) 781-4010

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 Rachael Bierschenk's NPI number?

The NPI number for Rachael Bierschenk is 1972903169. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Rachael Bierschenk located?

Rachael Bierschenk practices at 1505 Northside Blvd Ste 2000, Cumming, GA 30041. The listed phone number is (770) 781-4010.

What is Rachael Bierschenk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Rachael Bierschenk enrolled in Medicare?

Yes. Rachael Bierschenk 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 Rachael Bierschenk accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rachael Bierschenk 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 Rachael Bierschenk affiliated with any hospitals?

According to CMS data, Rachael Bierschenk is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Rachael Bierschenk was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.