RACHEL MAUCH CRNA
NPI 1467120147
Nurse Anesthetist, Certified Registered in Fargo, ND

NPI Status: Active since August 30, 2021

Contact Information

5225 23RD AVE S
FARGO, ND
ZIP 58104
Phone: (701) 417-2000

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  • Individual
  • Female
  • Years of Experience 5
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About RACHEL MAUCH

This page provides the complete NPI Profile along with additional information for Rachel Mauch, a provider established in Fargo, North Dakota with a medical specialization in Nurse Anesthetist, Certified Registered and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1467120147 assigned on August 2021. The practitioner's primary taxonomy code is 367500000X with license number 134475 (ND). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1467120147
Provider Name
RACHEL MAUCH CRNA
Other Name
RACHEL HOLTE
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
5225 23RD AVE S FARGO, ND 58104
Location Phone
(701) 417-2000
Mailing Address
PO BOX 5074 SIOUX FALLS, SD 57117
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
08-30-2021
Last Update Date
02-01-2022
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
134475
License State
ND
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 $9200 Deductible - PPO
  • BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Rachel Mauch 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.

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.

  • PECOS PAC ID: 5890188304

    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: I20220204002028

    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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 17 times for 17 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.86 for a new patient copayment and $17.37 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 58104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.45
  • Minimum New Patient Price $55.75
  • Maximum New Patient Price $168.12
  • Average New Patient Copayment $31.86
  • Minimum New Patient Copayment $13.93
  • Maximum New Patient Copayment $42.03

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.48
  • Minimum Established Patient Price $18.11
  • Maximum Established Patient Price $137.65
  • Average Established Patient Copayment $17.37
  • Minimum Established Patient Copayment $4.52
  • Maximum Established Patient Copayment $34.41

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Rachel Mauch is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SANFORD MEDICAL CENTER FARGO801 BROADWAY NORTH
FARGO, ND 58122
(701) 234-2000Acute Care Hospitals

Reviews for RACHEL MAUCH CRNA

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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.
1467120147
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412722018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 2 + 2 + 0 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1467120147 is valid because the calculated check digit 7 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
1508385196 EMILY BAKKEN M.S CF-SLP
Individual
Speech-Language Pathologist5225 23RD AVE S
FARGO, ND 58104
(701) 417-2000
1700392305 BROOKE ABEL OTR/L
Individual
Occupational Therapist5225 23RD AVE S
FARGO, ND 58104
(701) 417-2000
1558879940 KAYLA MARIE QUINN APRN
Individual
Advanced Practice Midwife5225 23RD AVE S
FARGO, ND 58104
(701) 360-3542
1174022412MRS. BRETT JESSICA CADWELL CRNA
Individual
Nurse Anesthetist, Certified Registered5225 23RD AVE S
FARGO, ND 58104
(701) 417-2000
1043508518 MARIBEL R. HAMM CNM
Individual
Advanced Practice Midwife5225 23RD AVE S
FARGO, ND 58104
(701) 417-2575
1720026768 GWEN WITZEL NP-C
Individual
Nurse Practitioner5225 23RD AVE S
FARGO, ND 58104
(701) 234-2000
1124526470 ERIC HEIDEN
Individual
Nurse Anesthetist, Certified Registered5225 23RD AVE S
FARGO, ND 58104
(701) 234-2000
1013413756 ASHLEY HEULE
Individual
Nurse Anesthetist, Certified Registered5225 23RD AVE S
FARGO, ND 58104
(701) 371-7635
1942305206 RAIMANTAS DRUBLIONIS MD
Individual
Hospitalist5225 23RD AVE S
FARGO, ND 58104
(800) 437-4010
1619003381 MICHELLE L RESLER CRNA
Individual
Nurse Anesthetist, Certified Registered5225 23RD AVE S
FARGO, ND 58104
(701) 417-6428
1174015895 KELSEY ANNE KANWISCHER OTR/L
Individual
Occupational Therapist5225 23RD AVE S
FARGO, ND 58104
(701) 417-2000
1700245016MRS. ASHLEY JEAN BRUHN OTR/L
Individual
Occupational Therapist5225 23RD AVE S
FARGO, ND 58104
(701) 417-7337
1710392238 KRISTIN BRANDT M.D.
Individual
Anesthesiology5225 23RD AVE S
FARGO, ND 58104
(701) 417-2000
1982199071DR. ADEL MERGOUM
Individual
Internal Medicine5225 23RD AVE S
FARGO, ND 58104
(701) 234-5933
1558854653 JOELLE DENISE ANDERSON OTR/L
Individual
Occupational Therapist5225 23RD AVE S
FARGO, ND 58104
(701) 417-3400
1649682253 AMANDA ELIZABETH SKIFTUN M.D.
Individual
Anesthesiology5225 23RD AVE S
FARGO, ND 58104
(701) 417-6428
1821571530 ALISHA GUMBLETON
Individual
Occupational Therapist5225 23RD AVE S
FARGO, ND 58104
(701) 417-3400
1750866935 TRACY HINRICHS DNP-NNP
Individual
Nurse Practitioner (Neonatal)5225 23RD AVE S
FARGO, ND 58104
(701) 417-2000
1598230005 JERICO GAMIAO ALICANTE
Individual
Registered Nurse5225 23RD AVE S
FARGO, ND 58104
(701) 417-2000
1063727410 LAUREL A MCKEEVER RN, MS, SNM
Individual
Advanced Practice Midwife5225 23RD AVE S
FARGO, ND 58104
(701) 417-2575

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467120147, enumerated in the NPI registry as an "individual" on August 30, 2021

The provider is located at 5225 23rd Ave S Fargo, Nd 58104 and the phone number is (701) 417-2000

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 5 years of experience.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $127.45 with an average copayment of $31.86 for new patient appointments. Established patients should expect a typical charge of $69.48 and an average copayment of 17.37. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope.

The practitioner is affiliated to the following hospital(s): SANFORD MEDICAL CENTER FARGO. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 30, 2021. 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].
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