RACHAEL MARIE KHODL (PA-C) – Physician Assistant, NPI 1093412215

RACHAEL MARIE KHODL (PA-C) is a healthcare provider. based in Muskegon, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for RACHAEL MARIE KHODL (PA-C) is 1093412215

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
RACHAEL MARIE KHODL (PA-C)
NPI
1093412215
Phone
(231) 728-4243
Address
1675 Leahy St Ste 401
Enumeration Date
8 February 2023
Last Update Date
16 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2316726815
Graduation Year
2022 (4 years ago)
PAC ID
3072986769
Group Practice PAC ID
2163572991
Professional Enrollment ID
I20230228000953
Address ID
MI494441849MU1500XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for RACHAEL MARIE KHODL (PA-C)

  • 1675 Leahy St Ste 401

    Muskegon, MI 494425544

    Phone: (231) 728-4243

    Type: Location

  • 1150 E SHERMAN BLVD STE 2400

    MUSKEGON, MI 494441886

    Phone: (231) 672-4243

    Fax: (231) 727-4214

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $307.

Total Amount is formed as General ($307) + Research ($0) + Ownership ($0) = $307.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Nevro Corp. ($232).

Total Amount

$307

General + Research + Ownership

Payments

5

Total payment records

General Amount

$307

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

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: 2023-02-28

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
I20230228000953IPhysician AssistantMITBD

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 49442)

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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: 2163572991View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIN
Physician AssistantMI
N E U R O L O G YMI
Physician AssistantMI
N E U R O S U R G E R YMI
Physician AssistantMI
Physician AssistantMI
Gastroenterology, Internal MedicineMI
Physician AssistantMI
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

Can I verify RACHAEL MARIE KHODL (PA-C) with an NPI only?
You can start verification with NPI 1093412215 for RACHAEL MARIE KHODL (PA-C), then check state licensing separately.
Does the file indicate RACHAEL MARIE KHODL (PA-C) is practicing under active NPI?
Directory data currently reports RACHAEL MARIE KHODL (PA-C) as active.
What is RACHAEL MARIE KHODL (PA-C)'s primary classification?
Physician Assistant is the headline specialty for RACHAEL MARIE KHODL (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is RACHAEL MARIE KHODL (PA-C) based?
RACHAEL MARIE KHODL (PA-C) is tied to Muskegon, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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