Individual provider Active NPI

Jennifer Marie Rahn, PAC

  • Physician Assistant
  • Lewes, DE
National Provider Identifier
1356381602
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C50000488 Issued in DE
Practice address
20268 Plantations Rd
Lewes, DE 19958-4622
Phone
(302) 644-2633
Fax
(302) 644-9192
NPI assigned
Jun 7, 2006
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C50000488 DE Primary

Addresses

Primary practice location

20268 Plantations Rd
Lewes, DE 19958-4622

Mailing address

20268 Plantations Rd
Lewes, DE 19958-4622
Phone (302) 644-2633

Other practice location 1

35141 Atlantic Ave
Millville, DE 19967-6954
Phone (302) 644-2633

Other practice location 2

509 Lakeview Ave
Milford, DE 19963-2917
Phone (302) 644-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20051220000548 DE Practitioner - Physician Assistant 5496777302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Consultants of de PAGroup PAC ID 8527027523, 3 clinicians

Practice addresses (Care Compare)

20268 Plantations Rd
Lewes, DE 19958-4622
Phone (302) 644-2633

35141 Atlantic Ave
Millville, DE 19967-6954
Phone (302) 644-2633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Incendium LLC PastSince Jan 9, 2023 Accepting new patients
Sussex Pain Surgery Center, LLC Past Accepting new patients
Coastal Pain Care Physicians, P.a. Past Accepting new patients
Patrick Swier MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.rahn.p19@direct.aara1.nextgenshare.com
  • Direct secure messaging: jennifer.rahn@sussexpainreliefcenter.chartmakerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1356381602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20268 PLANTATIONS RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584622",
            "telephone_number": "302-644-2633",
            "fax_number": "302-644-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20268 PLANTATIONS RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584622",
            "telephone_number": "302-644-2633",
            "fax_number": "302-644-9192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35141 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "DE",
            "postal_code": "199676954",
            "country_code": "US",
            "telephone_number": "302-644-2633",
            "fax_number": "302-644-9192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199632917",
            "country_code": "US",
            "telephone_number": "302-644-2633",
            "fax_number": "302-644-9192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50000488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.