Individual provider Active NPI

Rachel M Pearson, PA-C

  • Physician Assistant
  • Strongsville, OH
National Provider Identifier
1659340321
Registry record updated Jul 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3299 Issued in TN
Practice address
16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone
(440) 878-2500
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3299 TN Primary

Addresses

Primary practice location

16761 Southpark Ctr
Strongsville, OH 44136-9302

Mailing address

3187 Rustic Valley Dr
Medina, OH 44256-8719
Phone (618) 315-4736

Other names 1

  • Rachel M Green Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230411003050 NC Practitioner - Physician Assistant 4385780899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Island Family Medicine PLLCGroup PAC ID 8123156445, 4 clinicians

Practice addresses (Care Compare)

13567A NC Hwy 50
Surf City, NC 28445-6555
Phone (910) 329-9916

2540 NC Hwy 210 E
Hampstead, NC 28443-8988
Phone (910) 329-9916

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3299TNMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: rachel.pearson.1@2452.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593820800000",
    "number": "1659340321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3187 RUSTIC VALLEY DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568719",
            "telephone_number": "618-315-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16761 SOUTHPARK CTR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441369302",
            "telephone_number": "440-878-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "RACHEL",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GREEN",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.