Individual provider Active NPI

Rachel R Suera, PSY.D.

  • Psychologist
  • Rochester, MN
National Provider Identifier
1376942474
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP 5772 Issued in MN
Practice address
1027 7TH St NW
Rochester, MN 55901-2666
Phone
(507) 281-0023
Fax
(507) 281-0241
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP 5772 MN Primary

Addresses

Primary practice location

1027 7TH St NW
Rochester, MN 55901-2666

Mailing address

1027 7TH St NW
Rochester, MN 55901-2666
Phone (507) 281-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126003391 MN Practitioner - Clinical Psychologist 0244584597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 E Veterans Memorial Hwy
Suite 106
Kasson, MN 55944-1717
Phone (507) 424-6954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP 5772MNMDPsychologist

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1376942474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 7TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012666",
            "telephone_number": "507-281-0023",
            "fax_number": "507-281-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 7TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012666",
            "telephone_number": "507-281-0023",
            "fax_number": "507-281-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUERA",
        "first_name": "RACHEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 5772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.