Individual provider Active NPI

Rachel Neace, FNP

  • Family Nurse Practitioner
  • Eaton, OH
National Provider Identifier
1003655135
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0036481 Issued in OH
Practice address
515 S Maple St
Eaton, OH 45320-9413
Phone
(937) 456-6869
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0036481 OH Primary

Addresses

Primary practice location

515 S Maple St
Eaton, OH 45320-9413

Mailing address

1125 Tabor Ave
Kettering, OH 45420-1425
Phone (937) 503-5208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916001789 OH Practitioner - Nurse Practitioner 4183166002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimberly S Neace MSN CNP LLCGroup PAC ID 1850431115, 3 clinicians

Practice addresses (Care Compare)

101 Mills PL
New Lebanon, OH 45345-1430
Phone (937) 603-4507

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0036481OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eaton Gardens Rehabilitation and Health Care LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachel.neace@955045889703940.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1003655135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TABOR AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201425",
            "telephone_number": "937-503-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S MAPLE ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209413",
            "telephone_number": "937-456-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEACE",
        "first_name": "RACHEL",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0036481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

Verify at the official NPI Registry.