Individual provider Active NPI

Rachael C Koebel

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1780214825
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013557 Issued in KY
Practice address
3999 Dutchmans LN FL 6
Louisville, KY 40207-4744
Phone
(502) 559-1670
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013557 KY
Family Nurse Practitioner 363LF0000X 3013557 KY Primary

Addresses

Primary practice location

3999 Dutchmans LN FL 6
Louisville, KY 40207-4744

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-6000

Other practice location 2

411 E Chestnut St # 5A
Louisville, KY 40202-1713
Phone (502) 588-7450

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rkoebel45015@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200415003235 KY Practitioner - Nurse Practitioner 6103256169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3999 Dutchmans LN
Suite 6F
Louisville, KY 40207-4724
Phone (502) 394-1999

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Jun 1, 2021 Accepting new patients
Norton Children'S Medical Group, LLC Nurse Practitioner CurrentSince Apr 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC Nurse Practitioner Current Accepting new patients
Norton Children'S Medical Group, LLC Nurse Practitioner CurrentSince Apr 1, 2020 Accepting new patients
Norton Childrens Medical Group, LLC Nurse Practitioner Past Accepting new patients

Locations

101 Prosperous Pl
Lexington, KY 40509
Phone (859) 268-6498

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

3999 Dutchmans Ln
Ste 6F
Louisville, KY 40207
Phone (502) 394-1999

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 588-2349

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

3999 Dutchmans Ln
Fl 6
Louisville, KY 40207
Phone (502) 559-1670

3999 Dutchmans Ln
Ste 6FI
Louisville, KY 40207

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: rkoebel45015@direct.nortonhealthcare.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1780214825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN FL 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074744",
            "telephone_number": "502-559-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021821",
            "country_code": "US",
            "telephone_number": "502-629-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 E Chestnut St # 5A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021713",
            "country_code": "US",
            "telephone_number": "502-588-7450",
            "fax_number": "502-588-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEBEL",
        "first_name": "RACHAEL",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013557",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkoebel45015@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "411 E Chestnut St # 5A",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "411 E Chestnut St # 5A",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.