Individual provider Active NPI

Rachel E Pracher, PA-C

  • Physician Assistant
  • Augusta, ME
National Provider Identifier
1689945511
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
296 Issued in ME
Practice address
1 VA Ctr
Augusta, ME 04330-6795
Phone
(207) 623-8411
NPI assigned
Jan 24, 2012
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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 ME
Physician Assistant 363A00000X 296 ME Primary

Addresses

Primary practice location

1 VA Ctr
Augusta, ME 04330-6795

Mailing address

1 VA Ctr
Augusta, ME 04330-6795
Phone (207) 623-8411

Other practice location 1

3 Evergreen Dr
Oakland, ME 04963-5364
Phone (207) 861-9355

Other names 1

  • Rachel Welch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20120412000300 ME Practitioner - Physician Assistant 0547421992 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296MEMDAcupuncturist
PA296MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Jan 16, 2017 Accepting new patients
Central Maine Medical Center CurrentSince Jan 16, 2017 Accepting new patients
Central Maine Clinical Associates CurrentSince Jan 30, 2012 Accepting new patients
Mainegeneral Medical Center Past Accepting new patients

Locations

29 Lowell St
Lewiston, ME 04240
Phone (207) 795-2154

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1689945511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VA CTR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306795",
            "telephone_number": "207-623-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VA CTR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306795",
            "telephone_number": "207-623-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Evergreen Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "ME",
            "postal_code": "049635364",
            "country_code": "US",
            "telephone_number": "207-861-9355",
            "fax_number": "207-861-9357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRACHER",
        "first_name": "RACHEL",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WELCH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.