RACHEL A PETRACCA (APRN) – Women's Health Nurse Practitioner, NPI 1063187151

RACHEL A PETRACCA (APRN) is a healthcare provider. based in South portland, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 000000000 (CT). The NPI Number for RACHEL A PETRACCA (APRN) is 1063187151

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL A PETRACCA (APRN)
NPI
1063187151
Phone
(207) 347-2947
Address
100 GANNETT DR STE C
Enumeration Date
11 August 2021
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075233900
Graduation Year
2021 (5 years ago)
PAC ID
2466859483
Group Practice PAC ID
5092605261
Professional Enrollment ID
I20220527000129
Address ID
ME041062327SO100XXWXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

Provider Addresses for RACHEL A PETRACCA (APRN)

  • 100 GANNETT DR STE C

    SOUTH PORTLAND, ME 041065900

    Phone: (207) 347-2947

    Fax: (207) 874-2317

    Type: Mailing

  • 84 MARGINAL WAY STE 900

    PORTLAND, ME 041012476

    Phone: (207) 874-2445

    Fax: (207) 523-8598

    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: 2022-05-27

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
I20220527000129INurse PractitionerMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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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: 5092605261View full group profile
NameSpecialtyState
-ME
O B S T E T R I C S/ G Y N E C O L O G YCO
Internal MedicineRI
Nurse PractitionerME
Sports MedicineME
Nurse PractitionerME
Family PracticeRI
-ME
-ME
-ME

Reviews

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Frequently asked questions

Can I cross-check RACHEL A PETRACCA (APRN) using NPI 1063187151?
NPI 1063187151 belongs to RACHEL A PETRACCA (APRN); compare other details if you need extra assurance.
Is RACHEL A PETRACCA (APRN) still an active registrant?
RACHEL A PETRACCA (APRN) carries an active NPI according to the public dataset.
What expertise is attributed to RACHEL A PETRACCA (APRN)?
RACHEL A PETRACCA (APRN)'s specialty line reads Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for RACHEL A PETRACCA (APRN)?
Travel planning: use South Portland, Maine as the reference point for RACHEL A PETRACCA (APRN), then confirm.
Can I trust this NPI listing for RACHEL A PETRACCA (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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