NPIMap

Individual provider Active NPI

Rachel Michelle Houseal, PA-C

  • Physician Assistant
  • Aspen, CO
National Provider Identifier
1508268368
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004186 Issued in CO
Practice address
0401 Castle Creek Road
Aspen, CO 81611
Phone
(970) 279-4111
Fax
(970) 927-3915
NPI assigned
Sep 23, 2014
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 081355 IA
Physician Assistant 363A00000X PA.0004186 CO Primary

Addresses

Primary practice location

0401 Castle Creek Road
Aspen, CO 81611

Mailing address

0401 Castle Creek Road
Aspen, CO 81611
Phone (970) 279-4111

Other identifiers 1

IdentifierTypeStateIssuer
08820872MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150130001804 CO Practitioner - Physician Assistant 8123342797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspen Valley Hospital DistrictGroup PAC ID 9234123266, 38 clinicians

Practice addresses (Care Compare)

401 Castle Creek Rd
Aspen, CO 81611-1159
Phone (970) 544-1120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
081355IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Valley Hospital Clinics, PLLC CurrentSince Jul 14, 2019 Accepting new patients
Aspen Valley Hospital District Clinics CurrentSince Jul 14, 2019 Accepting new patients
Aspen Valley Hospital District CurrentSince Dec 12, 2018 Accepting new patients
Aspen Valley Hospital District CurrentSince Dec 12, 2018 Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

401 Castle Creek Rd
Ofc
Aspen, CO 81611
Phone (970) 544-1128

Interoperability endpoints

  • FHIR API: https://epicproxy.et1254.epichosted.com/FHIRProxy/api/FHIR/R4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1508268368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0401 CASTLE CREEK ROAD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-279-4111",
            "fax_number": "970-927-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0401 CASTLE CREEK ROAD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-279-4111",
            "fax_number": "970-927-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEAL",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "081355",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08820872",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

Verify at the official NPI Registry.