Rachel Michelle Dube, NP
Individual provider Active NPI Nurse Practitioner · Dallas, TX
NPI 1578062832 · NPPES record last updated May 30, 2018
Key facts
- NPI
- 1578062832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP136306 (TX)
- Practice address
- 6606 LBJ Fwy Ste 200
Dallas, TX 75240 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Feb 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Service Agency, Inc.
Practice addresses (Care Compare)
2600 Commerce Way
Kaufman, TX 75142-7325
Phone (972) 750-3177
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180411002796 | TX | Practitioner - Nurse Practitioner | 7810250560 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wfo Group LLC | Nurse Practitioner | Current |
Accepting new patients |
| Jemin N. Gajipara MD PA | Current |
Accepting new patients |
Locations
8210 Walnut Hill Ln
Ste 905
Dallas, TX 75231
Phone (214) 378-7605
10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000
Interoperability endpoints
- rachel.dube@237407481626628.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP136306 | TX | |
| Nurse Practitioner | 363L00000X | AP136306 | TX | Yes |
Addresses
Primary practice location
6606 LBJ Fwy Ste 200
Dallas, TX 75240
Mailing address
PO Box 40853
Dallas, TX 75284-0001
Phone (972) 715-5000
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.