Rachel Harris, NP

Individual provider Active NPI Nurse Practitioner · O'Fallon, MO

NPI 1225499866 · NPPES record last updated Oct 7, 2025

Key facts

NPI
1225499866
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
2015041114 (MO)
Practice address
2630 State Highway K
Ste 100
O'Fallon, MO 63368
Phone
(636) 240-5454
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LC (526 clinicians)

Practice addresses (Care Compare)

2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180214001417 MO Practitioner - Nurse Practitioner 2466737481 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015041114MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pike County Memorial Hospital Current
since Nov 26, 2017
Accepting new patients
Physician Groups LC Current
since May 1, 2024
Accepting new patients
Pike County Memorial Hospital Current
since Nov 26, 2017
Accepting new patients
Pike County Memorial Hospital Current
since Mar 9, 2021
Accepting new patients
Pike County Memorial Hospital Current Accepting new patients
Pike County Memorial Hospital Current Accepting new patients
Physician Groups LC Current
since May 1, 2024
Accepting new patients

Locations

1015 W Adams St
Bowling Green, MO 63334
Phone (573) 324-5300

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

2630 Highway K
Ste 100
O Fallon, MO 63368
Phone (636) 240-5454

660 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 463-6950

Interoperability endpoints

  • Direct secure messaging: rharris@pike.cernerdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015041114 MO
Nurse Practitioner 363L00000X 2015041114 MO Yes

Addresses

Primary practice location

2630 State Highway K
Ste 100
O'Fallon, MO 63368

Mailing address

660 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8512
Phone (636) 240-5454

Other practice location 1

2305 Georgia St
Louisiana, MO 63353-2559
Phone (636) 875-0470

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address rharris@pike.cernerdirect.com Direct
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Other providers in O'Fallon, MO

All providers in O'Fallon, MO · Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.