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RACHEL Q PHAM CRNP
NPI 1992126841
Nurse Practitioner in Camp Hill, PA

Active since December 19, 2013PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
431 NORTH 21ST ST., CAMP HILL, PA 17011(717) 763-3730(717) 763-3734 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2020, Mar 17, 2018, Jan 17, 2018 and 1 more (4 updates tracked since 2017).

About Rachel Q Pham Crnp NPPES

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

RACHEL Q PHAM CRNP (NPI 1992126841) is an individual nurse practitioner in Camp Hill, Pennsylvania, licensed in Pennsylvania (SP013389) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains a secondary practice location in Camp Hill.

NPPES Registry Identity

NPI1992126841
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL Q PHAMCredential: CRNP
Location Address431 NORTH 21ST ST.Camp Hill, PA 17011-8735
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(717) 763-3730
Fax(717) 763-3734
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 19, 2013
Last NPPES UpdateAugust 31, 20204 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1992126841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP013389
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP013389 (PA)
431 NORTH 21ST ST., Camp Hill, PA 17011
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Other Names 1

Former Name (1)Rachel Mary Quinn Crnp

Secondary Practice Location 1

Location 13301 Trindle RdCamp Hill, PA 17011-4413 · Phone (717) 412-7859 · Fax (717) 965-3214

Other Identifiers 1

Medicaid103051964PA

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 Q Pham Crnp 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 ID6507097508
PECOS Enrollment IDI20140314000711
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 2

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.

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.
62 services62 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.
55 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17011 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

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 Pham's NPI number?

The NPI number for Rachel Pham is 1992126841. It was assigned to this individual provider in the NPPES registry on December 19, 2013. The provider is also known as Rachel Mary Quinn Crnp.

Where is Rachel Pham located?

Rachel Pham practices at 431 North 21st St., Camp Hill, PA 17011. The listed phone number is (717) 763-3730.

What is Rachel Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachel Pham enrolled in Medicare?

Yes. Rachel Pham 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.

Is Rachel Pham affiliated with any hospitals?

According to CMS data, Rachel Pham is affiliated with Penn State Health Holy Spirit Medical Center and Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Rachel Pham was last updated on August 31, 2020. 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.