Rachael K Falle, NP - Medicare Nurse Practitioner in Sheboygan, WI

Rachael K Falle, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Sheboygan, Wisconsin. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sheboygan Physicians Group S.c. and her current practice location is 2920 Superior Ave, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 452-6000.

Rachael K Falle is licensed to practice in Wisconsin (license number 4804-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174889323.

Contact Information

Rachael K Falle, NP
2920 Superior Ave,
Sheboygan, WI 53081-1944
(920) 452-6000
(920) 803-2990

Map and Direction




Provider's Profile

Full NameRachael K Falle
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location2920 Superior Ave, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rachael K Falle graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1174889323
  • Provider Enumeration Date: 04/02/2012
  • Last Update Date: 12/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264696533
  • Enrollment ID: I20120618000375

Medical Identifiers

Medical identifiers for Rachael K Falle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174889323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4804-33 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sharon S Richardson Community HospiceSheboygan falls, WIHospice
St Nicholas HospitalSheboygan, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sheboygan Physicians Group S.c.064843521417

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rachael K Falle allows following entities to bill medicare on her behalf.
Entity NameSheboygan Physicians Group S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477819902
PECOS PAC ID: 0648435214
Enrollment ID: O20120705000087

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rachael K Falle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rachael K Falle, NP
2920 Superior Ave,
Sheboygan, WI 53081-1944

Ph: (920) 452-6000
Rachael K Falle, NP
2920 Superior Ave,
Sheboygan, WI 53081-1944

Ph: (920) 452-6000

Reviews and Comments


Nurse Practitioner Nurses in Sheboygan, WI

Erin Jessie Holzman,
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Medicare: Medicare Enrolled
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Phone: 920-457-4461    
Mrs. Doris U Theune, MS RN CS
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Medicare: Accepting Medicare Assignments
Practice Location: 2920 Superior Ave, Sheboygan, WI 53081
Phone: 920-453-5414    Fax: 920-803-2990
Dr. Holly Ann Bartlein, NP
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Practice Location: 1411 North Taylor Dr., Sheboygan, WI 53081
Phone: 920-457-4858    
Dr. Amanda Beinemann, AGPCNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 3100 Superior Ave, Sheboygan, WI 53081
Phone: 920-459-8300    
Pamela A Higgins, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 920-828-2700    Fax: 920-828-2705
Mary Lou Roethel, MSN,NP-C,APNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081
Phone: 920-496-4700    
Jennifer L Thickens, APNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 3100 Superior Ave, Sheboygan, WI 53081
Phone: 920-496-4700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.