Individual provider Active NPI

Rachel Gilmer, PA-C

  • Physician Assistant
  • Lebanon, VA
National Provider Identifier
1871582684
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001791 Issued in VA
Practice address
495 East Main Street
Lebanon, VA 24266-4510
Phone
(276) 889-3700
Fax
(276) 889-5505
NPI assigned
Oct 14, 2005
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001791 VA Primary

Addresses

Primary practice location

495 East Main Street
Lebanon, VA 24266-4510

Mailing address

216 College Ridge Rd
Cedar Bluff, VA 24609-9445
Phone (276) 964-7176

Other identifiers 1

IdentifierTypeStateIssuer
005605687MedicaidVA

Other names 1

  • Rachel Bostic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050913001005 VA Practitioner - Physician Assistant 3971536731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.12 of 100Reported as group
Quality
64.75
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001791VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
C-Health PC Past Accepting new patients
Appalachian Agency for Senior Citizens, Inc Past Accepting new patients
C-Health PC Past Accepting new patients

Organizations & group practices 5

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1871582684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 COLLEGE RIDGE RD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099445",
            "telephone_number": "276-964-7176",
            "fax_number": "276-964-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 EAST MAIN STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664510",
            "telephone_number": "276-889-3700",
            "fax_number": "276-889-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMER",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005605687",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BOSTIC",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, VA

Sources for this page

Verify at the official NPI Registry.