MRS. RACHEL C. GIFFHORN (PMHNP-BC) – Nurse Practitioner, NPI 1013720077

MRS. RACHEL C. GIFFHORN (PMHNP-BC) is a healthcare provider. based in Waterloo, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 2025002107 (MO). The NPI Number for MRS. RACHEL C. GIFFHORN (PMHNP-BC) is 1013720077

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MRS. RACHEL C. GIFFHORN (PMHNP-BC)
NPI
1013720077
Phone
(314) 448-2080
Address
6422 Ole Still Dr
Enumeration Date
31 January 2025
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6186512600
Graduation Year
2024 (2 years ago)
PAC ID
1759800998
Group Practice PAC ID
4183617517
Professional Enrollment ID
I20250521001942
Address ID
IL622492806HI12866AVEX300

Contacts

Secure Messaging
rboydgiffhorn476771@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:1State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. RACHEL C. GIFFHORN (PMHNP-BC)

  • 6422 Ole Still Dr

    Waterloo, IL 622982561

    Phone: (314) 448-2080

    Type: Location

  • 6422 OLE STILL DR

    WATERLOO, IL 622982561

    Phone: (314) 448-2080

    Type: Mailing

  • 12860 TROXLER AVE

    HIGHLAND, IL 622492898

    Phone: (618) 651-2810

    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: 2025-05-21

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
I20250521001942INurse PractitionerILTBD

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 62298)

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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: 4183617517View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
Hospitalist, Internal Medicine, Infectious DiseaseKY
Family PracticeIL
Cardiovascular Disease (Cardiology), Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
-IL
Nurse PractitionerIL
Physician AssistantIL

Reviews

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Frequently asked questions

How do I look up MRS. RACHEL C. GIFFHORN (PMHNP-BC) by NPI?
Use NPI 1013720077 when you need to reference MRS. RACHEL C. GIFFHORN (PMHNP-BC) in forms, claims, or directories.
Is MRS. RACHEL C. GIFFHORN (PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MRS. RACHEL C. GIFFHORN (PMHNP-BC)'s specialty in plain language?
Clinically, the directory lists MRS. RACHEL C. GIFFHORN (PMHNP-BC) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MRS. RACHEL C. GIFFHORN (PMHNP-BC)?
We surface Waterloo, Illinois for MRS. RACHEL C. GIFFHORN (PMHNP-BC) based on available NPPES addresses.
What if Waterloo, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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