Active NPI
Rachael L Armstrong, M.D.
- Surgery Physician
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MC-0232
- Practice address
- 415 6TH St
Lewiston, ID 83501-2434 - Phone
- (208) 750-7445
- NPI assigned
- May 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01071766A | IN | |
| Surgery Physician | 208600000X | MC-0232 | ID | Primary |
Addresses
Primary practice location
415 6TH St
Lewiston, ID 83501-2434
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone (702) 653-3550
Other practice location 1
4700 Las Vegas Blvd N
Las Vegas, NV 89191-6600
Phone (702) 653-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200728002111 | TN | Practitioner - General Surgery | 4587892161 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Tennessee Medical Group Inc
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
Hospital & facility affiliations
- Jackson-Madison County General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17375 | NV | MD | Pharmacist |
| MC-0232 | ID | MD | Surgery Physician |
| 01071766A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Family Medicine | Current | Accepting new patients |
Locations
1718 Parr Ave
Ste B
Dyersburg, TN 38024
Phone (731) 285-5121
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
569 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
103A Jane St
Paris, TN 38242
405 Tyson Ave
Paris, TN 38242
Phone (731) 394-3499
270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931
Interoperability endpoints
- rarmstrong18007@directepic.wth.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
Family Medicine, TN
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366735300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 LAS VEGAS BLVD N",
"city": "NELLIS AFB",
"state": "NV",
"postal_code": "891916600",
"telephone_number": "702-653-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 6TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835012434",
"telephone_number": "208-750-7445"
}
],
"practiceLocations": [
{
"address_1": "4700 Las Vegas Blvd N",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891916600",
"country_code": "US",
"telephone_number": "702-653-3050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "RACHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01071766A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "MC-0232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.