Rachel Kathleen Girouard

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AG07230060 Issued in CT

Practice address

464 Wolcott Rd Ste 3
Wolcott, CT 06716-2663

Phone

(203) 879-6171

Fax

(203) 879-1191

NPI assigned

Sep 6, 2023

Last updated

Aug 17, 2026By 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 CT

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology Center, PCGroup PAC ID 5294623005, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachg@jurzyk.emadirect.md

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.

• Advanced Dermatology Center, PC

  dba Ronald Jurzyk MD

  • Dermatology Physician
  • Wolcott, CT
  • NPI 1639160294
  Medicare reassignment Care Compare group NPD
• Integrated Dermatology of Waterbury, LLC

  • Dermatology Physician
  • Waterbury, CT
  • NPI 1588136220
  Medicare reassignment NPD
• Integrated Dermatology of Wolcott PLLC

  • Dermatology Physician
  • Wolcott, CT
  • NPI 1548127897
  NPD (past)

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1104602085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162626",
            "telephone_number": "203-879-6171",
            "fax_number": "203-879-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 WOLCOTT RD STE 3",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162663",
            "telephone_number": "203-879-6171",
            "fax_number": "203-879-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIROUARD",
        "first_name": "RACHEL",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "AG07230060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Genovese, DMD
• Gericare
• Gericare Psych LLC (GeriCare Psych)
• Peter Giacomazzi, MD
• Kayleigh Giannini
• Martin B. Goldstein, D.M.D.
• Jeffrey Gonzalez, LPC-A
• Marrhonda Goodwin
• Rachel Gorneault, PTA
• Grey Street Counseling Center LLC

• Nurse Practitioner in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.