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Individual provider Active NPI

Rachel R Wilcinot, DO

  • Family Medicine Physician
  • Sibley, IA
National Provider Identifier
1891959839
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-04046 Issued in IA
Practice address
600 9TH Ave N
Sibley, IA 51249-1012
Phone
(712) 754-3658
Fax
(712) 754-2634
NPI assigned
Jul 17, 2008
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-04046 IA Primary

Addresses

Primary practice location

600 9TH Ave N
Sibley, IA 51249-1012

Mailing address

600 9TH Ave N # 277
Sibley, IA 51249-1012
Phone (712) 754-3658

Other identifiers 1

IdentifierTypeStateIssuer
47055301100MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000708 IA Practitioner - Family Practice 9638200249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Osceola Community Hospital IncGroup PAC ID 5799692372, 13 clinicians

Practice addresses (Care Compare)

116 E 10TH St
Suite 101
Spencer, IA 51301-4365
Phone (712) 264-3500

600 9TH Ave N
Sibley, IA 51249-1012
Phone (712) 754-2900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions24
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-04046IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Aug 1, 2011 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Osceola Community Hospital Inc. CurrentSince Apr 27, 2010 Accepting new patients
Osceola Community Hospital Inc CurrentSince Apr 27, 2010 Accepting new patients
Alegent Health Memorial Hospital Schuyler Family Medicine Past Accepting new patients
Lincoln Medical Education Partnership Family Medicine Past Accepting new patients

Locations

600 9th Ave N
Sibley, IA 51249
Phone (712) 754-2574

600 9th Ave N
#277
Sibley, IA 51249

116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

Interoperability endpoints

  • Direct secure messaging: rachel.wilcinot@avera.sdhealthlink.net

Organizations & group practices 7

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.

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1891959839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 9TH AVE N # 277",
            "city": "SIBLEY",
            "state": "IA",
            "postal_code": "512491012",
            "telephone_number": "712-754-3658",
            "fax_number": "712-754-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 9TH AVE N",
            "city": "SIBLEY",
            "state": "IA",
            "postal_code": "512491012",
            "telephone_number": "712-754-3658",
            "fax_number": "712-754-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCINOT",
        "first_name": "RACHEL",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-04046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055301100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sibley, IA

Sources for this page

Verify at the official NPI Registry.