RACHEL BLETZACKER (FNP-BC) – Nurse Practitioner, NPI 1013645845

RACHEL BLETZACKER (FNP-BC) is a healthcare provider. based in Eads, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 0997758 (CO). The NPI Number for RACHEL BLETZACKER (FNP-BC) is 1013645845

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL BLETZACKER (FNP-BC)
NPI
1013645845
Phone
(719) 438-5401
Address
PO BOX 817
Enumeration Date
10 August 2022
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
2961888268
Group Practice PAC ID
5698716827
Professional Enrollment ID
I20221010001108
Address ID
CO810360000EAPOXXXBOXX204
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for RACHEL BLETZACKER (FNP-BC)

  • PO BOX 817

    EADS, CO 810360817

    Phone: (719) 438-5401

    Type: Mailing

  • 1208 LUTHER ST

    EADS, CO 810360817

    Phone: (719) 438-2251

    Fax: (719) 438-2254

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221010001108INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698716827View full group profile

Reviews

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Frequently asked questions

What number should I use to identify RACHEL BLETZACKER (FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1013645845 for RACHEL BLETZACKER (FNP-BC).
Is RACHEL BLETZACKER (FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists RACHEL BLETZACKER (FNP-BC) as active.
What services align with RACHEL BLETZACKER (FNP-BC)'s listing?
RACHEL BLETZACKER (FNP-BC)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to RACHEL BLETZACKER (FNP-BC)?
The directory associates RACHEL BLETZACKER (FNP-BC) with Eads, Colorado. Check all listed addresses for suites or satellite offices.
Can I export RACHEL BLETZACKER (FNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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