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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RACHEL ELLEN RIDENOUR HERMAN MS RN CNP
NPI 1992772107
Nurse Practitioner - Pediatrics, Critical Care in Altoona, IA

Active since March 07, 2006PECOS Enrolled
1210 1ST AVE N, ALTOONA, IA 50009(515) 967-8887(833) 913-0981 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Jul 13, 2026 (2 updates tracked since 2026).

About Rachel Ellen Ridenour Herman Ms Rn Cnp NPPES

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

RACHEL ELLEN RIDENOUR HERMAN MS RN CNP (NPI 1992772107) is an individual pediatrics, critical care provider in Altoona, Iowa, licensed in Iowa (C166816) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Inver Grove Heights.

NPPES Registry Identity

NPI1992772107
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameRACHEL ELLEN RIDENOUR HERMANCredential: MS RN CNP
Location Address1210 1ST AVE NAltoona, IA 50009-4804
Mailing Address1210 1st Ave NAltoona, IA 50009-4804 · (515) 967-8887 · Fax (833) 913-0981
Phone(515) 967-8887
Fax(833) 913-0981
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1992772107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
Licenses✔ Licensed in IA · C166816✔ Licensed in MN · MN R 1297074
1210 1ST AVE N, Altoona, IA 50009
Open in Google Maps ↗

Secondary Practice Location 1

Location 15975 Carmen AveInver Grove Heights, MN 55076-4416 · Phone (651) 455-9697 · Fax (651) 455-2012

Other Identifiers 7

Other117512MN · U Care
Other12-03446MN · Medica
Medicaid991314900MN
Other321P1HEMN · Blue Cross And Blue Shiel
OtherHP47638MN · Healthpartners
Other1046021MN · Preferred One
Other12-03447MN · Medica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..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 Ellen Ridenour Herman Ms Rn Cnp 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 Herman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The St Thomas East End Medical Center Corporation
Public Health, Federal
4605 TUTU PARK MALL, SUITE 207
St Thomas, VI 00802
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 23 clinicians in this Medicare group
NPI 1891799763 (340) 775-3700

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 50009 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $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 3

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

ALEXIS GAMM ARNP
Nurse Practitioner (Pediatrics)
1210 1ST AVE N
ALTOONA, IA 50009
Polk County (515) 967-8887
BE WELL PEDIATRICS, P.L.C
Pediatrics
1210 1ST AVE N
ALTOONA, IA 50009
Polk County (515) 967-8887
ALISON HOEGER PA-C
Physician Assistant
1210 1ST AVE N
ALTOONA, IA 50009
Polk County (515) 967-8887

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 Herman's NPI number?

The NPI number for Rachel Herman is 1992772107. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Rachel Herman located?

Rachel Herman practices at 1210 1st Ave N, Altoona, IA 50009. The listed phone number is (515) 967-8887.

What is Rachel Herman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Rachel Herman enrolled in Medicare?

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

Which organization bills Medicare for Rachel Herman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Herman reassigns Medicare benefits to The St Thomas East End Medical Center Corporation (St Thomas, VI). 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 Herman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Herman accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Rachel Herman 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 Herman was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.