RACHEL J CARLSON (APN) – Nurse Practitioner, NPI 1497763882

RACHEL J CARLSON (APN) is a healthcare provider. based in Bolingbrook, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209006040 (IL). The NPI Number for RACHEL J CARLSON (APN) is 1497763882

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL J CARLSON (APN)
NPI
1497763882
Phone
(630) 378-9785
Address
726 S WEBER RD
Enumeration Date
3 August 2006
Last Update Date
27 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157335952
Graduation Year
2005 (21 years ago)
PAC ID
4789782186
Group Practice PAC ID
4587974332
Professional Enrollment ID
I20070608000247
Address ID
IL604048849SH1039XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for RACHEL J CARLSON (APN)

  • Weber Road, Bolingbrook, Will County, Illinois, 60490, United States

    BOLINGBROOK, IL 604905451

    Phone: (630) 378-9785

    Fax: (630) 378-9836

    Type: Mailing

  • Windham Parkway, Romeoville, Will County, Illinois, 60490, United States

    ROMEOVILLE, IL 604461673

    Phone: (630) 378-9785

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($38).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-06-08

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
I20070608000247INurse 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 60490)

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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: 4587974332View full group profile
NameSpecialtyState
Family PracticeIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for RACHEL J CARLSON (APN)?
RACHEL J CARLSON (APN) — NPI 1497763882 — is the standard way to identify this listing.
Can I rely on RACHEL J CARLSON (APN) being an active provider?
As of the registry snapshot, RACHEL J CARLSON (APN) is marked active.
What taxonomy line describes RACHEL J CARLSON (APN)?
For research purposes, treat RACHEL J CARLSON (APN) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does RACHEL J CARLSON (APN) serve?
RACHEL J CARLSON (APN)'s listing highlights Bolingbrook, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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