Individual provider Active NPI

Rachel Marie Klinges, RN

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1386354876
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029469 Issued in PA
Practice address
1412 Fairmount Ave
Philadelphia, PA 19130-2908
Phone
(215) 235-9600
Fax
(215) 684-5360
NPI assigned
Nov 25, 2022
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 SP029469 PA Primary

Addresses

Primary practice location

1412 Fairmount Ave
Philadelphia, PA 19130-2908

Mailing address

4122 5TH St NW Apt 2
Washington, DC 20011-5946
Phone (610) 457-7542

Other practice location 1

11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 292-7000

Other identifiers 7

IdentifierTypeStateIssuer
1043071520001MedicaidPA
1043071520003MedicaidPA
1043071520005MedicaidPA
1043071520006MedicaidPA
1043071520007MedicaidPA
1043071520004MedicaidPA
1043071520002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240416000641 PA Practitioner - Nurse Practitioner 7810336401 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R241800MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Community Health, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Delaware Valley Community Health, Inc. Current Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients

Locations

1401 DeKalb St
Norristown, PA 19401
Phone (610) 275-9400

1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600

1412 Fairmount Ave
#22
Philadelphia, PA 19130

400 W Allegheny Ave
Bldg 3
Philadelphia, PA 19133
Phone (215) 546-7501

5901 Market St
Philadelphia, PA 19139
Phone (215) 222-2466

800 Chester Pike
Sharon Hill, PA 19079
Phone (610) 534-3636

Interoperability endpoints

  • Direct secure messaging: rachel.klinges.p1@direct.dvch.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1386354876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 5TH ST NW APT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115946",
            "telephone_number": "610-457-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302908",
            "telephone_number": "215-235-9600",
            "fax_number": "215-684-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11711 Livingston Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207445151",
            "country_code": "US",
            "telephone_number": "301-292-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINGES",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043071520001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043071520003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043071520005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043071520006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043071520007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043071520004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043071520002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.