RACHAEL NOELLE ROWE M.A.
NPI 1073165775
Counselor in Lincoln, NE
NPI Status: Active since July 12, 2019
Contact Information
4545 S 86TH ST
LINCOLN, NE
ZIP 68526
Phone: (402) 483-6990
Fax: (402) 483-7045
- Individual
- Female
- Years of Experience 6
- Counselor
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About RACHAEL ROWE
This page provides the complete NPI Profile along with additional information for Rachael Rowe, a provider established in Lincoln, Nebraska with a medical specialization in Counselor and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1073165775 assigned on July 2019. The practitioner's primary taxonomy code is 101Y00000X with license number 11940 (NE). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1073165775
- Provider Name
- RACHAEL NOELLE ROWE M.A.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4545 S 86TH ST LINCOLN, NE 68526
- Location Phone
- (402) 483-6990
- Location Fax
- (402) 483-7045
- Mailing Address
- 4545 S 86TH ST LINCOLN, NE 68526
- Mailing Phone
- (402) 483-6990
- Mailing Fax
- (402) 483-7045
- Medical School Name
- OTHER
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-12-2019
- Last Update Date
- 07-12-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 11940
- License State
- NE
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
- Blue StandardHealth Silver - Neighborhood Network - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Rachael Rowe is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Rachael Rowe is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6103369798
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240624004583
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for RACHAEL NOELLE ROWE M.A.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 7 | 3 | 1 | 6 | 5 | 7 | 7 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 14 | 3 | 2 | 6 | 10 | 7 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 4 + 3 + 2 + 6 + 1 + 0 + 7 + 1 + 4 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1073165775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1285677112 | DR. DAVID GEORGE RUTZ M.D. Individual | Family Medicine | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-7507 |
1962448944 | NANCY ANN HELLER LMHP Individual | Counselor (Mental Health) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1508895681 | PATRICIA ANN KARPISEK LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1215969514 | DR. SEAN ERIC SAMUELS PSY.D. Individual | Clinical Neuropsychologist | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1295760551 | MR. DAVID MARVIN DICK PA-C Individual | Family Medicine | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-7507 |
1316054992 | BARBARA SAND ARNP Individual | Family Medicine | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-7507 |
1215033022 | SEAN THOMAS Individual | Counselor | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1902016546 | PAUL K KINCS M. A. Individual | Counselor | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1417123464 | DENISE MYRA CASILLAS Individual | Counselor | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1457596728 | KRISTIN M RUNGE PA-C Individual | Physician Assistant | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-7507 |
1851625750 | NEBRASKA COMPREHENSIVE HEALTH CARE Organization | Family Medicine | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1992031488 | STEPHANIE ANNE KENTOPP WESTBERG Individual | Counselor (Mental Health) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6900 |
1366710220 | ROSEMARY C ZLOMKE MA Individual | Counselor (Mental Health) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6690 |
1295008076 | KAYLENE FINNEY Individual | Counselor (Mental Health) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6690 |
1760650444 | DR. LISA ANN LOGSDEN PSY.D. Individual | Psychologist (Clinical) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1750530507 | JILL ZLOMKE MCPHERSON LIMHP Individual | Counselor (Mental Health) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1730461393 | CYNTHIA ANN MILLER MA Individual | Psychologist (Clinical) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6690 |
1043613078 | SHELLEY O'HARA Individual | Psychologist (Clinical) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1154726461 | LARKA VESPER Individual | Counselor (Mental Health) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
1104083237 | JODI LYNN KEHLER MSW, LMHP, CMSW Individual | Social Worker (Clinical) | 4545 S 86TH ST LINCOLN, NE 68526 (402) 483-6990 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073165775, enumerated in the NPI registry as an "individual" on July 12, 2019
The provider is located at 4545 S 86th St Lincoln, Ne 68526 and the phone number is (402) 483-6990
The provider's speciality is Counselor with taxonomy code 101Y00000X
The provider has more than 6 years of experience.
The provider might be accepting Accepts: BannerAetna and Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on July 12, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.