DR. RACHEL ANN PLOSKONKA (PHD) – Psychologist, NPI 1235655598
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 CLINICAL PSYCHOLOGIST in IN
Provider Addresses for DR. RACHEL ANN PLOSKONKA (PHD)
29943 NETWORK PL
CHICAGO, IL 606731299
Phone: (317) 706-3415
Type: Mailing
3750 LANDMARK DR STE A
LAFAYETTE, IN 479056652
Phone: (765) 807-2780
Fax: (317) 706-3417
Type: Location
610, Main Street, Lafayette, Tippecanoe County, Indiana, 47901, United States
LAFAYETTE, IN 479011451
Phone: (765) 423-2233
Type: Mailing
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: 2017-08-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170831002854 | I | Clinical Psychologist | IN | TBD |
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.
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 60673)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Anesthesiology, Pain Management, Anesthesiology | FL | |
| Nurse Practitioner | IN | |
| Physician Assistant | IL | |
| Pain Management | IN | |
| Physician Assistant | IL | |
| Pain Management, Anesthesiology, Neurology | IN | |
| Nurse Practitioner | IN | |
| Physical Therapist In Private Practice | IN | |
| - | IN |
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