Rachelle J. Hamell, NP

Key facts

NPI

1497897003

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

NP380A (ID)

Practice address

214 N Main Street
Riggins, ID 83549

Phone

(208) 628-3666

Fax

(208) 634-7212

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• St Lukes Clinic - McCall LLC Family Medicine Physician · McCall, ID · NPI 1881982510
  Care Compare group
• St Lukes McCall LTD Critical Access Hospital · McCall, ID · NPI 1235447970
  Care Compare group
• St Lukes McCall, LTD Medicare Defined Swing Bed Hospital Unit · McCall, ID · NPI 1043528011
  Care Compare group
• Payette Lakes Medical Clinic, PA Primary Care Clinic/Center · McCall, ID · NPI 1255462263
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes McCall, LTD (6 clinicians)
St Lukes Clinic - McCall LLC (44 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rhamell16895@direct.slhs.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2012.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1497897003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N MAIN STREET",
            "city": "RIGGINS",
            "state": "ID",
            "postal_code": "83549",
            "telephone_number": "208-628-3666",
            "fax_number": "208-634-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMELL",
        "first_name": "RACHELLE",
        "middle_name": "J.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP380A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PLMC",
            "identifier": "000010149379",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC SRMC",
            "identifier": "NPLH0",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PLMC",
            "identifier": "NPQG7",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS SRMC",
            "identifier": "000010017403",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805158000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "500018433",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riggins, ID

• Kathleen Francis Brown, PA
• City of Riggins
• David Roy Ferguson, LCPC
• Linnaea Hinton, NCTMB / LMT
• Anna Rene Jungert, LCSW,CADC
• Cody Dean Killmar, PARAMEDIC
• Salmon River Ambulance District
• Salmon River School District 243

All providers in Riggins, ID · Family Nurse Practitioner in Idaho