Individual provider Active NPI

Rachelle R Stevens, PA-C

  • Physician Assistant
  • Newark, OH
National Provider Identifier
1689802399
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004320RX Issued in OH
Practice address
1320 W Main St
Newark, OH 43055-1822
Phone
(220) 564-4151
Fax
(220) 564-7153
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 50.004320RX OH Primary
Physician Assistant 363A00000X 0110003035 VA

Addresses

Primary practice location

1320 W Main St
Newark, OH 43055-1822

Mailing address

1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4151

Other practice location 1

1460 Orange St
Coshocton, OH 43812
Phone (740) 622-6411

Other identifiers 1

IdentifierTypeStateIssuer
0137484MedicaidOH

Other names 1

  • Rachelle R Scott Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rstevens44799@lickingmemorial.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150909000446 OH Practitioner - Physician Assistant 0143373019 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Licking Memorial Health ProfessionalsGroup PAC ID 6204740731, 235 clinicians
Health Professionals of Holmes County, Inc.Group PAC ID 6002916194, 40 clinicians

Practice addresses (Care Compare)

1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4000

420 S Reeves Ave
Suite B
Dover, OH 44622-2162
Phone (330) 364-4600

Hospital & facility affiliations

  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
  • Pomerene Hospital Hospital, Millersburg, OH, CCN 360148

Merit-based Incentive Payment System (MIPS)

Final score
71.97 of 100Reported as group
Quality
53.19
Improvement activities
40
Cost
86.77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Professional Corporation CurrentSince Dec 3, 2025 Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince Dec 23, 2023 Accepting new patients
Licking Memorial Health Professionals Current Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Dec 20, 2025 Accepting new patients
Hles of Ohio Inc CurrentSince Jan 15, 2017 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Dec 3, 2025 Accepting new patients
Incare Health Solutions, LLC Physician Assistant CurrentSince Sep 1, 2015 Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince Dec 23, 2023 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Waterway Emergency Physicians LLC Past Accepting new patients
Bala Shark Emergency Physicians LLC Physician Assistant Past Accepting new patients
Hles of Ohio Inc Past Accepting new patients
North Carolina Em I Medical Services P C Physician Assistant Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

420 S Reeves Ave
Ste B
Dover, OH 44622
Phone (330) 364-4461

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

3169 State Route 39
Millersburg, OH 44654
Phone 33047366156

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

1261 Wooster Rd
Ste 200
Millersburg, OH 44654
Phone (330) 674-2822

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1689802399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551822",
            "telephone_number": "220-564-4151",
            "fax_number": "220-564-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551822",
            "telephone_number": "220-564-4151",
            "fax_number": "220-564-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 Orange St",
            "address_purpose": "LOCATION",
            "city": "Coshocton",
            "state": "OH",
            "postal_code": "43812",
            "country_code": "US",
            "telephone_number": "740-622-6411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "RACHELLE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004320RX",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137484",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rstevens44799@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "1320 W Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "SCOTT",
            "middle_name": "R",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.