Individual provider Active NPI

Rachel Ann Staker-Brown, DO

  • Family Medicine Physician
  • Nelsonville, OH
National Provider Identifier
1164051926
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.016508 Issued in OH
Practice address
11 John Lloyd Evans Memorial Dr Ste 200
Nelsonville, OH 45764-2523
Phone
(740) 594-2456
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.016508 OH Primary

Addresses

Primary practice location

11 John Lloyd Evans Memorial Dr Ste 200
Nelsonville, OH 45764-2523

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other names 1

  • Rachel Staker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815002240 OH Practitioner - Family Practice 0446681035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians

Practice addresses (Care Compare)

14395 State Route 93
Jackson, OH 45640-9798
Phone (740) 288-7681

384 County Rd 120
South Point, OH 45680-7807
Phone (740) 894-2080

384 County Rd 120 So
South Point, OH 45680-7807
Phone (740) 894-2080

Hospital & facility affiliations

  • Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 1, 2024 Accepting new patients
Ashland Hospital Corporation Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Ashland Hospital Corporation Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Dec 1, 2024 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

265 W Union St
Ste A
Athens, OH 45701
Phone (740) 566-4850

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

11 John Lloyd Evans Memorial Dr
Ste 200
Nelsonville, OH 45764
Phone (740) 753-1931

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

Interoperability endpoints

  • Direct secure messaging: rstaker90568@direct.kdhealth.us
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1164051926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JOHN LLOYD EVANS MEMORIAL DR STE 200",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457642523",
            "telephone_number": "740-594-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKER-BROWN",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "STAKER",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nelsonville, OH

Sources for this page

Verify at the official NPI Registry.