RACHEL EMMA SURRIDGE – Physician Assistant, NPI 1659143840

RACHEL EMMA SURRIDGE is a healthcare provider. based in Waltham, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA101289 (MA). The NPI Number for RACHEL EMMA SURRIDGE is 1659143840

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL EMMA SURRIDGE
NPI
1659143840
Phone
(781) 641-4900
Address
75 3rd Ave Ste 6
Enumeration Date
23 October 2023
Last Update Date
24 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782440060
Graduation Year
2024 (2 years ago)
PAC ID
9436679149
Group Practice PAC ID
9234141904
Professional Enrollment ID
I20250225003263
Address ID
MA018242712CH27XXXSQXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for RACHEL EMMA SURRIDGE

  • 75 3rd Ave Ste 6

    Waltham, MA 024517582

    Phone: (781) 641-4900

    Fax: (781) 373-9248

    Type: Location

  • 22 Mill St Ste 304

    Arlington, MA 024764778

    Phone: (781) 641-4900

    Fax: (978) 244-2522

    Type: Location

  • 526 MAIN ST STE 302

    ACTON, MA 017203301

    Phone: (978) 371-7010

    Fax: (978) 371-0522

    Type: Mailing

  • 27 VILLAGE SQ

    CHELMSFORD, MA 018242712

    Phone: (978) 244-0060

    Fax: (978) 244-2522

    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: 2025-02-25

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
I20250225003263IPhysician AssistantMATBD

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 02451)

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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: 9234141904View full group profile
NameSpecialtyState
Nurse PractitionerMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
O P H T H A L M O L O G YMA
D E R M A T O L O G YMA

Reviews

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Frequently asked questions

Does RACHEL EMMA SURRIDGE have a public NPI I can cite?
Public records show RACHEL EMMA SURRIDGE under NPI 1659143840.
Does the public listing show RACHEL EMMA SURRIDGE as active?
RACHEL EMMA SURRIDGE's NPI record reflects an active status in NPPES.
Which specialty label fits RACHEL EMMA SURRIDGE?
NPPES ties RACHEL EMMA SURRIDGE to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to RACHEL EMMA SURRIDGE?
The directory associates RACHEL EMMA SURRIDGE with Waltham, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains RACHEL EMMA SURRIDGE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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