Individual provider Active NPI

Rachel Ellen Self, FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1437735248
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1146509 Issued in TX
Practice address
102 Westside Medical Blvd
Lufkin, TX 75904
Phone
(936) 220-1013
Fax
(936) 560-2681
NPI assigned
Mar 22, 2021
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 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 1146509 TX Primary

Addresses

Primary practice location

102 Westside Medical Blvd
Lufkin, TX 75904

Mailing address

3205 N University Dr Ste E
Nacogdoches, TX 75965-2683
Phone (936) 585-8000

Other practice location 1

4710 NE Stallings Dr
Nacogdoches, TX 75965-1615
Phone (936) 560-2666

Other practice location 2

3205 N University Dr Ste E
Nacogdoches, TX 75965-2683
Phone (936) 585-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250609000555 TX Practitioner - Nurse Practitioner 0547770638 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

Practice addresses (Care Compare)

3205 N University Dr
Suite E
Nacogdoches, TX 75965-2683

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nacogdoches Womens Center, PLLC CurrentSince Dec 14, 2025 Accepting new patients
Rose Imaging Specialists PA PastSince Dec 14, 2025 Accepting new patients

Locations

4710 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 560-2666

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1437735248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N UNIVERSITY DR STE E",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652683",
            "telephone_number": "936-585-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESTSIDE MEDICAL BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-220-1013",
            "fax_number": "936-560-2681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 NE Stallings Dr",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759651615",
            "country_code": "US",
            "telephone_number": "936-560-2666",
            "fax_number": "936-560-2681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3205 N University Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759652683",
            "country_code": "US",
            "telephone_number": "936-585-8000",
            "fax_number": "936-978-0484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELF",
        "first_name": "RACHEL",
        "middle_name": "ELLEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1146509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.