Physician Compare National (NPI:1609007558)

HEALTHCARE PROVIDER: RACHELLE ANN MAKER FNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1609007558
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870649247
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090928000070
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAKER
	Individual professional last name
Provider First Name	RACHELLE
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTH EAST COLORADO FAMILY MEDICINE ASSOCIATES PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2062404031
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1405 S 8TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	STERLING
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	807514560
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9705223304
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	060076
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STERLING REGIONAL MEDCENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y