Individual provider Active NPI

Rachelle Cassandra Price, FNP

  • Family Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1326562430
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342104-1 Issued in NY
Practice address
532 Coffeen St
Watertown, NY 13601-2421
Phone
(315) 782-6200
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F342104-1 NY Primary

Addresses

Primary practice location

532 Coffeen St
Watertown, NY 13601-2421

Mailing address

532 Coffeen St
Watertown, NY 13601-2421
Phone (315) 782-6200

Other names 1

  • Rachelle C Haddow Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170923000300 NY Practitioner - Nurse Practitioner 9537433917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Nurse Practitioners-Family Health PLLCGroup PAC ID 2668451998, 5 clinicians
Allergycare PLLCGroup PAC ID 1456451798, 2 clinicians

Practice addresses (Care Compare)

19472 US Route 11
Watertown, NY 13601-6897
Phone (315) 786-1924

532 Coffeen St
Watertown, NY 13601-2421
Phone 31562479110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.13 of 100Reported as group
Quality
74.26
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F342104-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nurse Practitioners - Family Health PLLC Family CurrentSince Jul 19, 2021 Accepting new patients
Eye Plastic and Reconstructive Surgery of Cny PC Past Accepting new patients

Locations

19472 US Route 11
Ste N101
Watertown, NY 13601
Phone (315) 422-3937

19472 US Route 11
Watertown, NY 13601
Phone (315) 782-6126

Organizations & group practices 3

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 1

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1326562430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 COFFEEN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012421",
            "telephone_number": "315-782-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 COFFEEN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012421",
            "telephone_number": "315-782-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "RACHELLE",
        "middle_name": "CASSANDRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342104-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "HADDOW",
            "middle_name": "C",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.