Active NPI
Rachel Ann Cron, PA-C
- Physician Assistant
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001632A
- Practice address
- 4055 Gateway Blvd
Newburgh, IN 47630-8947 - Phone
- (812) 842-2210
- Fax
- (812) 842-4599
- NPI assigned
- Jan 5, 2010
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-003531 | IL | |
| Physician Assistant | 363A00000X | 10001632A | IN | Primary |
Addresses
Primary practice location
4055 Gateway Blvd
Newburgh, IN 47630-8947
Mailing address
4055 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 842-2210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001632A | Other | IN | IN LICENSE |
| 50.00305 | Other | OH | STATE LICENSURE |
Other names 1
- Rachel Ann Rice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
146 E Spruce St
Sault Sainte Marie, MI 49783-1822
Phone (906) 253-0113
500 Osborn Blvd
Sault S Marie, MI 49783-1822
509 Osborn Blvd
Sault Sainte Marie, MI 49783-2069
Phone (906) 635-4401
509 Osborn Blvd
Sault Sainte Marie, MI 49783-2071
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-003531 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients |
Locations
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350
Interoperability endpoints
- rcron143509@mymichiganhealth.midirect.net
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sault Sainte Marie, MI
- NPI 1639190382
-
- Anatomic Pathology & Clinical Pathology Physician
- Sault Sainte Marie, MI
- NPI 1518819739
-
- Family Medicine Physician
- Kincheloe, MI
- NPI 1851434419
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chippewa County War Memorial Hospital, Inc
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1043540628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308947",
"telephone_number": "812-842-2210",
"fax_number": "812-842-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308947",
"telephone_number": "812-842-2210",
"fax_number": "812-842-4599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRON",
"first_name": "RACHEL",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-003531",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001632A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN LICENSE",
"identifier": "10001632A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "50.00305",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "RICE",
"middle_name": "ANN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.