Rachel Ryland Bradley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0007721 Issued in CO

Practice address

12 Snowmass Rd
Axtel 100
Crested Butte, CT 81225-1850

Phone

(970) 349-0321

Fax

(970) 349-0328

NPI assigned

Jan 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CA, CO, HI4 enrollments

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 4

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gunnison Valley HospitalGroup PAC ID 8426040486, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gunnison Valley Hospital Hospital, Gunnison, CO, CCN 061320

Merit-based Incentive Payment System (MIPS)

Final score

40.82 of 100Reported as group

Quality

9.1

Promoting interoperability

100

Improvement activities

0

Cost

43.64

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, CO
  • NPI 1932109048
  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Hawaii Permanente Medical Group Inc

  • Health Maintenance Organization
  • Honolulu, HI
  • NPI 1710945969
  Medicare reassignment
• Solano Gateway Medical Group Inc

  • Emergency Medicine Physician
  • Fairfield, CA
  • NPI 1952344293
  Medicare reassignment
• Gunnison Valley Hospital

  • Urgent Care Clinic/Center
  • Gunnison, CO
  • NPI 1477361228
  NPD
• Gunnison Valley Hospital

  • Primary Care Clinic/Center
  • Gunnison, CO
  • NPI 1578997284
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gunnison Valley Hospital

  • Urgent Care Clinic/Center
  • Crested Butte, CO
  • NPI 1134754153

  Hospital

  Care Compare affiliation
• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, CO
  • NPI 1932109048
  Care Compare affiliation

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1891293338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302208",
            "telephone_number": "970-641-1456",
            "fax_number": "970-641-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SNOWMASS RD",
            "address_2": "AXTEL 100",
            "city": "CRESTED BUTTE",
            "state": "CT",
            "postal_code": "812251850",
            "telephone_number": "970-349-0321",
            "fax_number": "970-349-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Main St",
            "address_purpose": "LOCATION",
            "city": "Kenansville",
            "state": "NC",
            "postal_code": "283498801",
            "country_code": "US",
            "telephone_number": "910-296-0941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "RACHEL",
        "middle_name": "RYLAND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.