Individual provider Active NPI

Rachel Hurtubise, PA-C

  • Physician Assistant
  • Washington Township, OH
National Provider Identifier
1033990833
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008339RX Issued in OH
Practice address
1975 Miamisburg Centerville Rd
Washington Township, OH 45459-3811
Phone
(937) 439-6186
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 50.008339RX OH Primary

Addresses

Primary practice location

1975 Miamisburg Centerville Rd
Washington Township, OH 45459-3811

Mailing address

5025 Ackerman Blvd
Kettering, OH 45429-5647

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
I20231117000251 OH Practitioner - Physician Assistant 2365899010 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Center for Neurological Disorders IncGroup PAC ID 4082501853, 26 clinicians

Practice addresses (Care Compare)

1275 N High St
Hillsboro, OH 45133-8273
Phone (937) 393-6461

1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 439-6186

8087 -A Washington Village Dr
Unit 120
Dayton, OH 45458-1873
Phone (937) 439-6186

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.05 of 100Reported as group
Quality
81.65
Promoting interoperability
100
Improvement activities
40
Cost
75.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.008339RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highland District Hospital Professional Services Corporation CurrentSince Jan 31, 2025 Accepting new patients
Trihealth H LLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Trihealth Physician Institute Physician Assistant Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

Interoperability endpoints

  • Direct secure messaging: rachel.hurtubise.2@6237.direct.athenahealth.com
  • Direct secure messaging: rachel.hurtubise.1@1367.direct.athenahealth.com
  • Direct secure messaging: rahurtub@yourcarecommunity.org

Organizations & group practices 6

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 4

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1033990833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 ACKERMAN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-439-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTUBISE",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008339RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Township, OH

Sources for this page

Verify at the official NPI Registry.