Rachel Jordan Archibald, DNP
Individual provider Active NPI Family Nurse Practitioner · Elizabethtown, KY
NPI 1063259232 · NPPES record last updated Jul 13, 2024
Key facts
- NPI
- 1063259232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4023964 (KY)
- Practice address
- 2413 Ring Road Suite 110
Elizabethtown, KY 42701 - Phone
- (270) 765-4535
- Fax
- (270) 763-1901
- NPI assigned
- Jul 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primecare PSC
PT Pros, Inc
Practice addresses (Care Compare)
2413 Ring Rd
Suite 110
Elizabethtown, KY 42701-5924
Phone (270) 765-4535
4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776
Hospital & facility affiliations
- Baptist Health Hardin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240817000482 | KY | Practitioner - Nurse Practitioner | 6103364484 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare PSC | Current |
Accepting new patients |
Locations
2413 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 765-4535
Interoperability endpoints
- rachel.archibald.1@22055.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4023964 | KY | Yes |
Addresses
Primary practice location
2413 Ring Road Suite 110
Elizabethtown, KY 42701
Mailing address
2413 Ring Road Suite 110
Elizabethtown, KY 42701
Phone (270) 765-4535
Other names
- Rachel Adkins
Other providers in Elizabethtown, KY
- Richard Applegate
- Aptiva Health
- Dashawn Pascal Aquino
- Carrie M Araneta
- Javier Julio Arce
- Kristen Dowell Arguedas
- Felicia Armstrong
- Laura Ann Arney
- Elizabeth Lura Arnold
- Arrow Dental PLLC
All providers in Elizabethtown, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.