Provider Profile
Listed in the NPI registry as a nurse practitioner, Rachael K. Falle, NP practices in Sheboygan, WI. Rachael is also listed as specializing in nurse practitioner — adult health. Medicare claims data shows Rachael provided 614 services to 266 patients. The services billed most often include residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more, and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more. NPI 1174889323 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
2920 SUPERIOR AVE
Sheboygan, WI 53081
614 services · 266 patients · 9 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Insertion of needle into vein for collection of blood sample | Procedure | 36415 |
14 | Less often than most peers in Nurse Practitioner |
| Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99348 |
309 | More than most peers in Nurse Practitioner |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | Office visit | 99308 |
115 | As often as other peers in Nurse Practitioner |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
56 | As often as other peers in Nurse Practitioner |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99349 |
48 | Less often than most peers in Nurse Practitioner |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
25 | As often as other peers in Nurse Practitioner |
| Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | Office visit | 99347 |
17 | Less often than most peers in Nurse Practitioner |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99309 |
17 | Less often than most peers in Nurse Practitioner |
| Transitional care management services for problem of at least moderate complexity | Office visit | 99495 |
13 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Rachael K. Falle is a nurse practitioner in Sheboygan, WI. That is the designation recorded for this NPI in the federal registry.
NPI registry
Rachael K. Falle is listed at 2920 Superior Ave, Sheboygan, WI 53081. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (920) 452-6000. Contact the office directly to confirm availability and scheduling.
NPI registry
Rachael K. Falle's National Provider Identifier is 1174889323. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Rachael K. Falle attended Other, graduating in 2011. This comes from the CMS National Downloadable File.
CMS public data
Rachael K. Falle has 15 years experience. Calculated from a graduation year of 2011, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Rachael K. Falle performs procedures including insertion of needle into vein for collection of blood sample, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Rachael K. Falle. If this is you, claiming it is free.
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