Individual provider Active NPI

Rachel Ann Blackford

  • Family Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1720567407
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A118718 Issued in IA
Practice address
1630 42ND St NE Ste F
Cedar Rapids, IA 52402-3063
Phone
(319) 261-1379
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A118718 IA Primary

Addresses

Primary practice location

1630 42ND St NE Ste F
Cedar Rapids, IA 52402-3063

Mailing address

825 Palmyra Dr NE
Cedar Rapids, IA 52402-6590
Phone (908) 902-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180921002870 IA Practitioner - Nurse Practitioner 0446501944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

Practice addresses (Care Compare)

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A118718IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital CurrentSince May 5, 2025 Accepting new patients
St. Luke'S Methodist Hospital CurrentSince May 5, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Feb 15, 2021 Accepting new patients
East Central Iowa Acute Care, PLLC CurrentSince Aug 15, 2023 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Steindler Orthopedic Clinic, PLC Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

153 Collins Rd NE
Cedar Rapids, IA 52402
Phone (319) 826-2972

1940 Blairs Ferry Rd
Ste 104
Hiawatha, IA 52233
Phone (319) 393-0178

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

Interoperability endpoints

  • FHIR API: https://eproxy.mercycare.org/oauth2/STEINDLER/api/FHIR/R4
  • Direct secure messaging: rblackford47979@direct.unitypoint.org

Organizations & group practices 8

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 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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1720567407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 PALMYRA DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026590",
            "telephone_number": "908-902-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 42ND ST NE STE F",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023063",
            "telephone_number": "319-261-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKFORD",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A118718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.