Individual provider Active NPI

Rachel Pauline Moral Hernal, DC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1881268282
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61136443 Issued in WA
Practice address
1800 116TH Ave NE Ste 101
Bellevue, WA 98004-3043
Phone
(425) 637-0094
Fax
(425) 453-8298
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61136443 WA Primary

Addresses

Primary practice location

1800 116TH Ave NE Ste 101
Bellevue, WA 98004-3043

Mailing address

1800 116TH Ave NE Ste 101
Bellevue, WA 98004-3043
Phone (425) 637-0094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210826002630 WA Practitioner - Chiropractic 2264837384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellevue Chiropractic PSGroup PAC ID 8123010048, 5 clinicians

Practice addresses (Care Compare)

1800 116TH Ave NE
Suite 101
Bellevue, WA 98004-3043
Phone (425) 637-0094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61136443WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Wolff Inc PS Chiropractor CurrentSince May 20, 2021 Accepting new patients
Bellevue Chiropractic PS Chiropractor CurrentSince Apr 19, 2022 Accepting new patients
Christopher Wolff Inc PS Chiropractor Current Accepting new patients
Christopher Wolff Inc PS Chiropractor CurrentSince May 20, 2021 Accepting new patients
The Center for Oral & Maxillofacial Surgery PastSince Apr 19, 2022 Accepting new patients

Locations

1800 116th Ave NE
Ste 101
Bellevue, WA 98004
Phone (425) 454-5091

5211 20th Ave NW
Ste C
Seattle, WA 98107
Phone (206) 297-2792

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1881268282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 116TH AVE NE STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043043",
            "telephone_number": "425-637-0094",
            "fax_number": "425-453-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 116TH AVE NE STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043043",
            "telephone_number": "425-637-0094",
            "fax_number": "425-453-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNAL",
        "first_name": "RACHEL PAULINE",
        "middle_name": "MORAL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61136443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.