Individual provider Active NPI

Rachel Lee Pfaff, FNP-C

  • Family Nurse Practitioner
  • Maumee, OH
National Provider Identifier
1013640507
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031654 Issued in OH
Practice address
1661 Holland Rd Ste 100
Maumee, OH 43537-4206
Phone
(419) 794-1105
NPI assigned
Jul 3, 2022
Last updated
Jul 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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 APRN.CNP.0031654 OH Primary

Addresses

Primary practice location

1661 Holland Rd Ste 100
Maumee, OH 43537-4206

Mailing address

2231 Murray Dr
Toledo, OH 43613-2116
Phone (419) 205-7556

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
I20221005000583 OH Practitioner - Nurse Practitioner 6608252267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary and Critical Care Specialists IncGroup PAC ID 0840539342, 5 clinicians

Practice addresses (Care Compare)

1661 Holland Rd
Suite 100
Maumee, OH 43537-4206
Phone (419) 794-1105

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Critical Care Specialists Inc Single Specialty CurrentSince Oct 1, 2022 Accepting new patients

Locations

1661 Holland Rd
Ste 100
Maumee, OH 43537
Phone (419) 794-1105

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBHBD/Endpoint/JGBHBD
  • Direct secure messaging: rachel.pfaff@pccs.eclinicaldirectplus.com

Organizations & group practices 1

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

Hospital & facility affiliations 3

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": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1013640507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 MURRAY DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132116",
            "telephone_number": "419-205-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HOLLAND RD STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374206",
            "telephone_number": "419-794-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFF",
        "first_name": "RACHEL",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.