Active NPI
Rachelle Ann Wilcox, M.D.
- Family Medicine Physician
- Ann Arbor, MI
National Provider Identifier
1568660637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301089973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00958605 | Other | WA | RAILROAD 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan-Uhs-University Health Ser | Current | 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.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1265610570
-
- Family Medicine Physician
- Poulsbo, WA
- NPI 1447304449
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.