Individual provider Active NPI

Rachel Eve Koransky-Matson, NP

  • Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1407307861
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP221002 Issued in ME
Practice address
50 Columbia St Ste 11
Bangor, ME 04401-6331
Phone
(407) 850-8199
Fax
(877) 284-1946
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9347452 FL
Nurse Practitioner 363L00000X CNP221002 ME Primary

Addresses

Primary practice location

50 Columbia St Ste 11
Bangor, ME 04401-6331

Mailing address

543 Timber Ridge Dr
Longwood, FL 32779-2646
Phone (407) 770-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA, ME, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20171212003283 NV Practitioner - Nurse Practitioner 2769755180 Reassigns benefits to 1 organization
I20200131001620 WA Practitioner - Nurse Practitioner 2769755180 Reassigns benefits to 1 organization
I20220518000861 ME Practitioner - Nurse Practitioner 2769755180 Reassigns benefits to 2 organizations
I20220705001932 OR Practitioner - Nurse Practitioner 2769755180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Navigating Wellness Primary Care PLLCGroup PAC ID 4789124025, 6 clinicians

Practice addresses (Care Compare)

3675 Lakeside Dr
Suite B
Reno, NV 89509-4861
Phone 40785081991003

50 Columbia St
Suite 62
Bangor, ME 04401-6331
Phone (407) 850-8199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Navigating Wellness Primary Care PLLC CurrentSince Sep 15, 2024 Accepting new patients
Yakima Neighborhood Health Services CurrentSince Sep 21, 2020 Accepting new patients
Cogent Healthcare of Washington, PC Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Jan 1, 2021 Accepting new patients
Yakima Neighborhood Health Services CurrentSince Sep 21, 2020 Accepting new patients
Yakima Neighborhood Health Services Current Accepting new patients
MRH Corp. CurrentSince May 8, 2022 Accepting new patients
MRH Corp. CurrentSince May 8, 2022 Accepting new patients

Locations

50 Columbia St
Ste 11
Bangor, ME 04401
Phone (407) 850-8199

50 Columbia St
Ste 62
Bangor, ME 04401
Phone (407) 850-8199

26 Main St
Dexter, ME 04930
Phone (407) 850-8199

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

3675 Lakeside Dr
Ste B
Reno, NV 89509
Phone (407) 850-8199

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

402 S 4th Ave
Yakima, WA 98902
Phone (509) 575-3874

12 S 8th St
Yakima, WA 98901

Interoperability endpoints

  • Direct secure messaging: rkoransk@yourcarecommunity.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1407307861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 TIMBER RIDGE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792646",
            "telephone_number": "407-770-8160",
            "fax_number": "877-284-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COLUMBIA ST STE 11",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016331",
            "telephone_number": "407-850-8199",
            "fax_number": "877-284-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORANSKY-MATSON",
        "first_name": "RACHEL",
        "middle_name": "EVE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2024-08-02",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9347452",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP221002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.