Individual provider Active NPI

Rachel Ann Winters, MD

  • Family Medicine Physician
  • Lawrenceville, IL
National Provider Identifier
1902884273
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036091318 Issued in IL
Practice address
2111 Lexington Ave
Lawrenceville, IL 62439-2085
Phone
(618) 943-6202
Fax
(618) 943-3611
NPI assigned
Jan 5, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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 036091318 IL Primary

Addresses

Primary practice location

2111 Lexington Ave
Lawrenceville, IL 62439-2085

Mailing address

2111 Lexington Ave
Lawrenceville, IL 62439-2085
Phone (618) 943-6202

Other identifiers 7

IdentifierTypeStateIssuer
057693OtherHEALTH ALLIANCE
255938OtherHEALTHLINK
565630OtherAENTA
080089176OtherRAILROAD MEDICARE
1412697OtherUNITED HEALTHCARE
050107409OtherILBLUE CROSS BLUE SHIELD
L040796OtherTRICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120320000784 IL Practitioner - Family Practice 4981517422 Reassigns benefits to 2 organizations
Practice locations: Lawrenceville, IL; Bridgeport, IL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence County Memorial HospitalGroup PAC ID 1850288481, 13 clinicians
Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians

Practice addresses (Care Compare)

2111 Lexington Ave
Lawrenceville, IL 62439-2085

2200 State St
Lawrenceville, IL 62439-1852
Phone (618) 943-1000

2200 State St
Lawrenceville, IL 62439-1899

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036091318ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Current Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Lawrence County Memorial Hospital CurrentSince Oct 5, 2022 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Dec 22, 2025 Accepting new patients
Rachel a. Winters M.D. Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

2111 Lexington Ave
Lawrenceville, IL 62439
Phone (618) 943-6202

2111 Lexington Ave
Ste 3
Lawrenceville, IL 62439
Phone (618) 943-6202

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1902884273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 LEXINGTON AVE",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392085",
            "telephone_number": "618-943-6202",
            "fax_number": "618-943-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 LEXINGTON AVE",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392085",
            "telephone_number": "618-943-6202",
            "fax_number": "618-943-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036091318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "057693",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "255938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA",
            "identifier": "565630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080089176",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1412697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "050107409",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "L040796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

Verify at the official NPI Registry.