Rachel Andrello

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345747 Issued in NY

Practice address

55 Central PLZ Ste B
Ilion, NY 13357-1753

Phone

(315) 444-1900

NPI assigned

Aug 23, 2019

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ilion, NY
  • NPI 1528428208

  NY

  Medicare reassignment NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rushville, NY
  • NPI 1336984178
  NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Utica, NY
  • NPI 1649587627
  NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rushville, NY
  • NPI 1912225236
  NPD (past)

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1124675103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CENTRAL PLZ STE B",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571753",
            "telephone_number": "315-444-1900",
            "fax_number": "844-683-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CENTRAL PLZ STE B",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571753",
            "telephone_number": "315-444-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRELLO",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142440",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emirfa Ahmetovic, LPN
• All Valley Smiles, Inc
• Sheree Ames, RN
• Matthew Richard Angiulli
• Kim Marie Bailey, L.P.N.
• Melissa Lynn Baker, LPN
• Catherine Louise Basi, R.N.
• Terry Tremblay Bassett, PT

• All providers in Ilion, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.