Individual provider Active NPI

Theresa Rachek, APRN

  • Acute Care Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1750445854
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
003369 Issued in CT
Practice address
687 W Main St
Hyannis, MA 02601-3421
Phone
(508) 771-8114
Fax
(508) 771-5822
NPI assigned
Dec 21, 2006
Last updated
Mar 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 003369 CT Primary

Addresses

Primary practice location

687 W Main St
Hyannis, MA 02601-3421

Mailing address

687 W Main St
Hyannis, MA 02601-3421
Phone (508) 771-8114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160808000564 MA Practitioner - Nurse Practitioner 8527206374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cape Cod Primary Care LLCGroup PAC ID 5496014300, 7 clinicians

Practice addresses (Care Compare)

10 Osterville W Barnstable Rd
Osterville, MA 02655-1549
Phone (508) 428-2620

687 W Main St
Hyannis, MA 02601-3421
Phone (508) 771-8114

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003369CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Primary Care LLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

687 W Main St
Hyannis, MA 02601
Phone (508) 428-8114

10 Osterville West Barnstable Rd
Osterville, MA 02655
Phone (508) 428-2620

Interoperability endpoints

  • Direct secure messaging: theresa.rachek@ccpcllc.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1750445854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013421",
            "telephone_number": "508-771-8114",
            "fax_number": "508-771-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013421",
            "telephone_number": "508-771-8114",
            "fax_number": "508-771-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHEK",
        "first_name": "THERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "003369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.