Rachael Demattei, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209027937 Issued in IL

Practice address

321 Regency Park Ste 100
O Fallon, IL 62269-1887

Phone

(618) 416-7970

Fax

(618) 416-7971

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Rachael Schaefer Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hematology/Oncology

Education

Southern Illinois University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cancer Care Specialists of Central Illinois SCGroup PAC ID 5991619116, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sparta Community Hospital Hospital, Sparta, IL, CCN 141349
• HSHS St Elizabeth's Hospital Hospital, O Fallon, IL, CCN 140187
• Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311
• Red Bud Regional Hospital Hospital, Red Bud, IL, CCN 141348

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cancer Care Specialists of Central Illinois, S.C.

  • Medical Oncology Physician
  • Decatur, IL
  • NPI 1871580142
  Medicare reassignment Care Compare group NPD
• Cancer Care Specialists of Central Illinois, S.C

  dba Cancer Care Specialists of Illinois

  • Community/Retail Pharmacy
  • Decatur, IL
  • NPI 1356874093
  NPD

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

• Deaconess Illinois Red Bud Regional Hospital Inc

  dba Red Bud Regional Hospital

  • Critical Access Hospital
  • Red Bud, IL
  • NPI 1407573132
  Care Compare affiliation
• Fairfield Memorial Hospital Association

  • Critical Access Hospital
  • Fairfield, IL
  • NPI 1255422416
  Care Compare affiliation
• Sparta Community Hospital

  • Critical Access Hospital
  • Sparta, IL
  • NPI 1548216476
  Care Compare affiliation
• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  dba HSHS St. Elizabeth's Hospital

  • General Acute Care Hospital
  • O'Fallon, IL
  • NPI 1629057302
  Care Compare affiliation

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1891443289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25228",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625255228",
            "telephone_number": "217-329-3232",
            "fax_number": "217-233-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 REGENCY PARK STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691887",
            "telephone_number": "618-416-7970",
            "fax_number": "618-416-7971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12860 Troxler Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622492898",
            "country_code": "US",
            "telephone_number": "618-416-7970",
            "fax_number": "618-416-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Broadway Plaza Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "IL",
            "postal_code": "622861800",
            "country_code": "US",
            "telephone_number": "618-416-7970",
            "fax_number": "618-416-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9515 Holy Cross Ln Ste 6",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303618",
            "country_code": "US",
            "telephone_number": "618-416-7970",
            "fax_number": "618-416-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404713",
            "country_code": "US",
            "telephone_number": "252-744-6478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMATTEI",
        "first_name": "RACHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041495134",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2017003138",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209027937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SCHAEFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alex Davie
• John Davis Sr.
• Leslie Davis, MA,LCPC
• Deer Run Dental, PC (Innovation Dental)
• Morgan Alice-Paige Delozier, DO
• Dental Professionals of Illinois, P.C. (O'Fallon Family Dental Care)
• Dentists of Ofallon PLLC
• Richard Derby, MD
• Jennifer Leigh Deschene, LMT
• Rajeev Dewan, M.D.

• Nurse Practitioner in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.