Rachel Clow, CPNP-PC

Individual provider Active NPI Pediatric Nurse Practitioner · Olney, IL

NPI 1457079006 · NPPES record last updated Jun 22, 2026

Key facts

NPI
1457079006
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
209025762 (IL)
Practice address
363 N West St
Olney, IL 62450-1160
Phone
(618) 392-9400
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221128000986 IL Practitioner - Nurse Practitioner 3173991064 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209025762ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Memorial Hospital, Inc Current Accepting new patients
Richland Memorial Hospital, Inc Current
since Oct 10, 2022
Accepting new patients
Richland Memorial Hospital, Inc Nurse Practitioner Current
since Oct 10, 2022
Accepting new patients

Locations

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

363 N West St
Olney, IL 62450
Phone (618) 392-9400

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

Interoperability endpoints

  • Direct secure messaging: rachel.clow@carle.com
  • Direct secure messaging: rclowrn305683@carlehiedirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209025762 IL Yes

Addresses

Primary practice location

363 N West St
Olney, IL 62450-1160

Mailing address

1004 E South Ave
Olney, IL 62450-2956
Phone (618) 204-7585

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Rachel.Clow@carle.com

Other providers in Olney, IL

All providers in Olney, IL · Pediatric Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.