Individual provider Active NPI

Rachel Rivard Wilcox, NP

  • Pediatric Nurse Practitioner
  • Rockland, ME
National Provider Identifier
1831429299
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
CNP91066 Issued in ME
Practice address
22 White St
Rockland, ME 04841-2978
Phone
(207) 680-4545
Fax
(207) 680-4545
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X CNP91066 ME Primary

Addresses

Primary practice location

22 White St
Rockland, ME 04841-2978

Mailing address

22 White St
Rockland, ME 04841-2978
Phone (207) 680-4545

Other names 1

  • Rachel Anne Rivard 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
I20250618001726 ME Practitioner - Nurse Practitioner 4789195587 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP91066MEMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Coast Health Net Inc CurrentSince May 1, 2025 Accepting new patients

Locations

22 White St
Rockland, ME 04841
Phone (207) 301-6996

Interoperability endpoints

  • Direct secure messaging: rachel.wilcox.1@26648.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1831429299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WHITE ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412978",
            "telephone_number": "207-680-4545",
            "fax_number": "207-680-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WHITE ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412978",
            "telephone_number": "207-680-4545",
            "fax_number": "207-680-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "RACHEL",
        "middle_name": "RIVARD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ME",
            "license": "CNP91066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "RIVARD",
            "middle_name": "ANNE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockland, ME

Sources for this page

Verify at the official NPI Registry.