Individual provider Active NPI

Rachelle Ann Wilcox, M.D.

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1568660637
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301089973 Issued in MI
Practice address
207 Fletcher St
Ann Arbor, MI 48109-1050
Phone
(734) 764-8320
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301089973 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X 4301089973 MI

Addresses

Primary practice location

207 Fletcher St
Ann Arbor, MI 48109-1050

Mailing address

207 Fletcher St
Ann Arbor, MI 48109-1050
Phone (734) 764-8320

Other identifiers 1

IdentifierTypeStateIssuer
P00958605OtherWARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000332 MI Practitioner - Family Practice 4082748066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

207 Fletcher St
Ann Arbor, MI 48109-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan-Uhs-University Health Ser CurrentSince Jan 25, 2014 Accepting new patients
North Kitsap Family Practice and Urgent Care P.S. Family Medicine Past Accepting new patients

Locations

207 Fletcher St
Rm 0
Ann Arbor, MI 48109

207 Fletcher St
Ann Arbor, MI 48109
Phone (734) 764-8320

207 Fletcher St
Rm 245G
Ann Arbor, MI 48109
Phone (734) 763-9631

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1568660637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FLETCHER ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091050",
            "telephone_number": "734-764-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FLETCHER ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091050",
            "telephone_number": "734-764-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "RACHELLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301089973",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301089973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00958605",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.