Rachel Albertin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6559 Paw Paw Ave
Coloma, MI 49038-8805

Phone

(269) 463-3600

Fax

(269) 468-3334

NPI assigned

Sep 24, 2021

Last updated

Aug 15, 2023By 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 2

Addresses

Other names 1

• Rachel Bosley Former name

Medicare fee-for-service enrollment

Enrolled in IN, MI2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeland Community Hospital WatervlietGroup PAC ID 7416942750, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Watervliet Hospital Hospital, Watervliet, MI, CCN 230078
• Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ralbertin1268263@epic00.corewelldirect.org

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.

• Lakeland Community Hospital Watervliet

  dba Corewell Health Watervliet Hospital Southwestern Medical Multispecial

  • Rural Health Clinic/Center
  • Niles, MI
  • NPI 1538592753
  Medicare reassignment Care Compare group NPD
• Lakeland Community Hospital Watervliet

  dba Corewell Health Watervliet Hospital Primary Care - Hartford

  • Rural Health Clinic/Center
  • Hartford, MI
  • NPI 1023114741
  Medicare reassignment
• Pic Indiana PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890
  Medicare reassignment
• Lakeland Community Hospital Watervliet

  dba Corewell Health Watervliet Hospital

  • Rural Health Clinic/Center
  • Dowagiac, MI
  • NPI 1184467607
  NPD
• Lakeland Community Hospital Watervliet

  dba Corewell Health Watervliet Hospitals

  • Family Medicine Physician
  • Watervliet, MI
  • NPI 1568644052
  NPD
• Lakeland Community Hospital Watervliet

  dba Corewell Health Watervliet Hospital Primary Care - Coloma

  • Rural Health Clinic/Center
  • Coloma, MI
  • NPI 1083710701
  NPD (past)

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

• Lakeland Community Hospital Watervliet

  dba Corewell Health Watervliet Hospital

  • General Acute Care Hospital
  • Watervliet, MI
  • NPI 1700994845
  Care Compare affiliation
• Lakeland Hospitals at Niles and St Joseph, Inc

  dba Corewell Health Lakeland Hospitals

  • General Acute Care Hospital
  • Saint Joseph, MI
  • NPI 1134220031
  Care Compare affiliation

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1104597665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 PAW PAW AVE",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388805",
            "telephone_number": "269-463-3600",
            "fax_number": "269-468-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 PAW PAW AVE",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388805",
            "telephone_number": "269-463-3600",
            "fax_number": "269-468-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465143328",
            "country_code": "US",
            "telephone_number": "574-747-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 E Ireland Rd",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466143448",
            "country_code": "US",
            "telephone_number": "574-312-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 W Cleveland Rd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465451003",
            "country_code": "US",
            "telephone_number": "574-235-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491204074",
            "country_code": "US",
            "telephone_number": "269-687-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERTIN",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BOSLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Coloma, MI
• Providers in Coloma, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.