Active NPI
Rachel Lee Self, FNP-C
- Family Nurse Practitioner
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 640626
- Practice address
- 2133 Greenview Dr
Carrollton, TX 75010-4108 - Phone
- (469) 305-8057
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 640626 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 640626 | TX | |
| Family Nurse Practitioner | 363LF0000X | 640626 | TX | Primary |
Addresses
Primary practice location
2133 Greenview Dr
Carrollton, TX 75010-4108
Mailing address
2133 Greenview Dr
Carrollton, TX 75010-4108
Phone (469) 305-8057
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211222901 | Medicaid | TX | |
| P00860920 | Other | TX | RAILROAD |
| 211222902 | Medicaid | TX | |
| 818N21 | Other | TX | BCBS |
Other names 1
- Rachel Lee Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.63 of 100
- Quality
- 81.05
- Improvement activities
- 40
- Cost
- 70.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleburne Family Medicine Associates, PLLC | Current | Accepting new patients | |
| Cfma Denton PLLC | Current | Accepting new patients | |
| Total MD Physicians Group, PLLC | Current | Accepting new patients | |
| T Uselton Inc | Past | Accepting new patients |
Locations
8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555
3105 Colorado Blvd
Denton, TX 76210
Phone (940) 383-3444
209 Saint Louis Ave
Fort Worth, TX 76104
Phone (713) 907-6507
9591 Sage Meadow Trl
Fort Worth, TX 76177
Phone (817) 857-6534
234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221
2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700
251 E Southlake Blvd
Southlake, TX 76092
Phone (817) 424-0971
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Denton, TX
- NPI 1477290294
-
- Family Medicine Physician
- Sherman, TX
- NPI 1801893656
-
dba Total Behavioral Health
- Family Medicine Physician
- Austin, TX
- NPI 1982031852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670112000000",
"number": "1235395732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2133 GREENVIEW DR",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104108",
"telephone_number": "469-305-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 GREENVIEW DR",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104108",
"telephone_number": "469-305-8057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELF",
"first_name": "RACHEL",
"middle_name": "LEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2022-12-04",
"certification_date": "2022-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TX",
"license": "640626",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "640626",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "640626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211222901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00860920",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211222902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "818N21",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "WILSON",
"middle_name": "LEE",
"credential": "APRN, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carrollton, TX
- Kurt Aiden Seidler, DDS
- Melissa Elizabeth Seiter, MS, LPC, LCDC
- Selah Home Healthcare Inc
- Jeanne C. Selby, PHD
- Select Operations of Carrollton LLC (Esperanza of Carrollton)
- April Dawn Sellers
- Sharlene Selvaratnam, M.D.
- Senior Care Transitions, LLC
- Senior Pharmacy Services, Inc. (Trinity Apothecary)
- Seniors #1Transport Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.