Rachael Colden, NP
Individual provider Active NPI Nurse Practitioner · Washington, DC
NPI 1124493820 · NPPES record last updated Jan 7, 2020
Key facts
- NPI
- 1124493820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN1055040 (DC)
- Practice address
- 1805 Columbia Rd NW
Washington, DC 20009-2001 - Phone
- (027) 974-9602
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Urgent Care LLC
Practice addresses (Care Compare)
1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 |
|---|---|---|---|---|
| I20200123000971 | DC | Practitioner - Nurse Practitioner | 8628372364 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1055040 | DC | MD | Nurse Practitioner |
| 71005961A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care LLC | Current |
Accepting new patients | |
| Medstar Urgent Care, LLC | Current |
Accepting new patients |
Locations
1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005961A | IN | |
| Nurse Practitioner | 363L00000X | RN1055040 | DC | Yes |
Addresses
Primary practice location
1805 Columbia Rd NW
Washington, DC 20009-2001
Mailing address
PO Box 1241
South Bend, IN 46624-1241
Phone (855) 691-9888
Other providers in Washington, DC
- Ginga Lynn Colclough
- Kiona Imani Colclough
- Heather Ferguson Coldebella
- Kimberly Colden Massey
- Kelly A Colden
- Coldstream Solutions, Inc.
- Husainatu Cole - Abu
- Aaliyah Cole
- Abdul Cole
- Anthony Cole
All providers in Washington, DC · Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2020. 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.