RACHEL LARUE EDMEYER (PA-C) – Physician Assistant, NPI 1053468074

RACHEL LARUE EDMEYER (PA-C) is a healthcare provider. based in Roseville, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110008350 (VA). The NPI Number for RACHEL LARUE EDMEYER (PA-C) is 1053468074

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL LARUE EDMEYER (PA-C)
NPI
1053468074
Phone
(651) 635-0054
Address
1955 COUNTY ROAD B2 W
Enumeration Date
4 January 2007
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7579846140
Graduation Year
2005 (21 years ago)
PAC ID
5193897791
Group Practice PAC ID
7618234980
Professional Enrollment ID
I20230413002870
Address ID
VA231882865WI4374XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for RACHEL LARUE EDMEYER (PA-C)

  • 1955, County Road B2, Roseville, Ramsey County, Minnesota, 55113, United States

    ROSEVILLE, MN 551132723

    Phone: (651) 635-0054

    Fax: (651) 635-0949

    Type: Location

  • 250, Plymouth Road, Minnetonka, Hennepin County, Minnesota, 55305, United States

    MINNETONKA, MN 553052376

    Phone: (952) 767-2326

    Fax: (952) 593-5187

    Type: Mailing

  • 1001 CENTERBROOKE LN STE 100

    SUFFOLK, VA 234348663

    Phone: (757) 702-8105

    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: 2023-04-13

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
I20230413002870IPhysician AssistantVATBD

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 minutes114106$0
87804Detection test by immunoassay with direct visual observation for influenza virus10250$0
99214Established patient office or other outpatient visit, 30-39 minutes8684$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus7067$0
99204New patient office or other outpatient visit, 45-59 minutes5757$0
View full utilization report →

Insurance plans in this area (ZIP 55113)

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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: 7618234980View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerVA
-FL
-MD
Physician AssistantVA
-VA
Family Practice, Preventive MedicineVA
Physician AssistantVA
-TX
Nurse PractitionerVA

Reviews

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Frequently asked questions

What is the standard ID for RACHEL LARUE EDMEYER (PA-C) in the U.S.?
In the U.S., RACHEL LARUE EDMEYER (PA-C) is identified by NPI 1053468074.
Is RACHEL LARUE EDMEYER (PA-C)'s NPI status active today?
Active status means RACHEL LARUE EDMEYER (PA-C)'s NPI record is not deactivated in the public file.
What type of care does RACHEL LARUE EDMEYER (PA-C) provide?
RACHEL LARUE EDMEYER (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is RACHEL LARUE EDMEYER (PA-C) tied to Roseville, Minnesota?
If you are local to Roseville, Minnesota, RACHEL LARUE EDMEYER (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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