Individual provider Active NPI

Rachel M Rayburn, FNP-C

  • Family Nurse Practitioner
  • Bonne Terre, MO
National Provider Identifier
1821689910
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021000396 Issued in MO
Practice address
10 Lake Dr
Bonne Terre, MO 63628-1820
Phone
(573) 358-2800
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 2021000396 MO Primary

Addresses

Primary practice location

10 Lake Dr
Bonne Terre, MO 63628-1820

Mailing address

1553 Robert Thompson Dr
Festus, MO 63028-2323
Phone (314) 717-5833

Other practice location 1

611 W Main St
Fredericktown, MO 63645-1146
Phone (573) 756-1813

Other practice location 2

130 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-1813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210423000570 MO Practitioner - Nurse Practitioner 9830507292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Associates LLCGroup PAC ID 7012208952, 6 clinicians
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

130 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-1813

2022 Dorsett VLG
Maryland Heights, MO 63043-2208
Phone (314) 590-0520

Hospital & facility affiliations

  • SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081
  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Associates LLC Single Specialty CurrentSince Mar 30, 2026 Accepting new patients
SSM Health Care St. Louis Single Specialty CurrentSince Jun 2, 2025 Accepting new patients
SSM Health Care St Louis Single Specialty CurrentSince Jun 2, 2025 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

130 Westmount Dr
Farmington, MO 63640
Phone (573) 756-1813

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

12800 Corporate Hill Dr
Saint Louis, MO 63131
Phone (314) 989-6430

Interoperability endpoints

  • Direct secure messaging: rrayburn538360@direct-ehr-ssmhc.com
  • Direct secure messaging: ms_rraybur2@landmarkhealth-direct.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDFFAD

Organizations & group practices 3

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 3

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1821689910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 ROBERT THOMPSON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282323",
            "telephone_number": "314-717-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LAKE DR",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281820",
            "telephone_number": "573-358-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Main St",
            "address_purpose": "LOCATION",
            "city": "Fredericktown",
            "state": "MO",
            "postal_code": "636451146",
            "country_code": "US",
            "telephone_number": "573-756-1813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Westmount Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636402970",
            "country_code": "US",
            "telephone_number": "573-756-1813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021000396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonne Terre, MO

Sources for this page

Verify at the official NPI Registry.