Individual provider Active NPI

Rachelle Del Rio, NPP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1366129603
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405134 Issued in NY
Practice address
1901 Vestal Pkwy E Ste 2W
Vestal, NY 13850-1966
Phone
(607) 341-4950
Fax
(607) 341-4933
NPI assigned
Jun 29, 2023
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405134 NY Primary

Addresses

Primary practice location

1901 Vestal Pkwy E Ste 2W
Vestal, NY 13850-1966

Mailing address

1901 Vestal Pkwy E Ste 2W
Vestal, NY 13850-1966
Phone (607) 341-4950

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
I20250113002831 NY Practitioner - Nurse Practitioner 6002344488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jacqueline Ponticiello Psychiatric NP, PLLCGroup PAC ID 2567990567, 10 clinicians

Practice addresses (Care Compare)

1901 Vestal Pkwy E
Suite 2W
Vestal, NY 13850-1966
Phone (607) 341-4950

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline Ponticiello Psychiatric NP, PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

1901 Vestal Pkwy E
Ste 2W
Vestal, NY 13850
Phone (607) 341-4950

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1366129603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 VESTAL PKWY E STE 2W",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501966",
            "telephone_number": "607-341-4950",
            "fax_number": "607-341-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 VESTAL PKWY E STE 2W",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501966",
            "telephone_number": "607-341-4950",
            "fax_number": "607-341-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL RIO",
        "first_name": "RACHELLE",
        "credential": "NPP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.