Rachel Bletzacker, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0997758 Issued in CO

Practice address

1208 Luther St
Eads, CO 81036-0817

Phone

(719) 438-2251

Fax

(719) 438-2254

NPI assigned

Aug 10, 2022

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Kiowa Hospital DistrictGroup PAC ID 5698716827, shared by 3 NPIs, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Weisbrod Memorial County Hospital Hospital, Eads, CO, CCN 061300
• Prowers Medical Center Hospital, Lamar, CO, CCN 061323

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17361/brand/1/csg/1/fhir/r4
• Direct secure messaging: rachel.bletzacker.1@17361.direct.athenahealth.com

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.

• County of Kiowa Hospital District

  dba Weisbrod Health

  • Nursing Facility/Intermediate Care Facility
  • Eads, CO
  • NPI 1366452732
  Medicare reassignment NPD
• County of Kiowa Hospital District

  dba Weisbrod Health

  • General Practice Physician
  • Eads, CO
  • NPI 1700115938
  Medicare reassignment NPD
• County of Kiowa Hospital District

  dba Wiley Medical Clinic

  • Clinic/Center
  • Wiley, CO
  • NPI 1134139504
  NPD (past)
• County of Kiowa Hospital District

  dba Weisbrod Clinic

  • Rural Health Clinic/Center
  • Eads, CO
  • NPI 1659464709
  NPD (past)

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

• County of Kiowa Hospital District

  dba Weisbrod Health

  • Nursing Facility/Intermediate Care Facility
  • Eads, CO
  • NPI 1366452732

  Hospital

  Care Compare affiliation
• Prowers County Hospital District

  dba Prowers Medical Center

  • Critical Access Hospital
  • Lamar, CO
  • NPI 1821052929
  Care Compare affiliation

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1013645845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "EADS",
            "state": "CO",
            "postal_code": "810360817",
            "telephone_number": "719-438-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 LUTHER ST",
            "city": "EADS",
            "state": "CO",
            "postal_code": "810360817",
            "telephone_number": "719-438-2251",
            "fax_number": "719-438-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLETZACKER",
        "first_name": "RACHEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0997758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Briggs Archer Sr., NP
• Lindsey M Barlow
• County of Kiowa Hospital District (Weisbrod Health)
• County of Kiowa Hospital District (Weisbrod Clinic)
• County of Kiowa Hospital District (Kiowa County Hospital District Extended Care Unit)
• County of Kiowa Hospital District (Weisbrod Health)
• Renay Marie Crain, RN

• Nurse Practitioner in Eads, CO
• Providers in Eads, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.