RACHEL WHITAKER (NP) – Nurse Practitioner, NPI 1104480383

RACHEL WHITAKER (NP) is a healthcare provider. based in Longview, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP138763 (TX). The NPI Number for RACHEL WHITAKER (NP) is 1104480383

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL WHITAKER (NP)
NPI
1104480383
Phone
(903) 315-2000
Address
700 E MARSHALL AVE
Enumeration Date
23 April 2019
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033152000
Graduation Year
2018 (8 years ago)
PAC ID
1254674831
Group Practice PAC ID
6305295429
Professional Enrollment ID
I20190522002620
Address ID
TX756015580LO700XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for RACHEL WHITAKER (NP)

  • CHRISTUS Good Shepherd Medical Center, 700, East Marshall Avenue, Longview, Gregg County, Texas, 75601, United States

    LONGVIEW, TX 756015580

    Phone: (903) 315-2000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($125).

Total Amount

$222

General + Research + Ownership

Payments

2

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-24

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: 2019-05-22

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
I20190522002620INurse PractitionerTXTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 75601)

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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: 6305295429View full group profile
NameSpecialtyState
Nurse PractitionerTX
H O S P I T A L I S TNE
Hospitalist, GastroenterologyTX
Internal MedicineTX
Internal Medicine, HospitalistTX
Hospitalist, Internal MedicineTX
Internal MedicineTX
H O S P I T A L I S TTX
Family PracticeTX
Internal MedicineTX

Reviews

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Frequently asked questions

What NPI should I save for RACHEL WHITAKER (NP)?
Save NPI 1104480383 if you need a stable reference for RACHEL WHITAKER (NP).
Is RACHEL WHITAKER (NP) active in the national directory?
RACHEL WHITAKER (NP)'s public NPI profile is in an active state.
Does RACHEL WHITAKER (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for RACHEL WHITAKER (NP). Clinical services aligned with this taxonomy classification.
Does RACHEL WHITAKER (NP) practice in Texas?
You will see Longview, Texas on file for RACHEL WHITAKER (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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