Rachel Medrano, PMHNP
NPI 1295515203 · Psychiatry Physician · Marlborough, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rachel Medrano, PMHNP is a Psychiatry Physician provider in Marlborough, MA (NPI 1295515203).
Provider details
- NPI number
- 1295515203
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN2309685 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
275 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 124 | $80 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 108 | $116 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 43 | $163 |
Typical Medicare-allowed amounts for these services range $80–$163 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 46 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Trazodone Hcl | 313 | 47 |
| Sertraline Hcl | 295 | 33 |
| Clonidine Hcl | 246 | 32 |
| Risperidone | 240 | 34 |
| Buspirone Hcl | 228 | 42 |
| Divalproex Sodium | 225 | 23 |
| Olanzapine | 186 | 25 |
| Fluoxetine Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-05
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Rachel Medrano's NPI number?
- Rachel Medrano's National Provider Identifier (NPI) is 1295515203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rachel Medrano's specialty?
- Rachel Medrano is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Rachel Medrano located?
- Rachel Medrano's practice location on file with NPPES is 225 Cedar Hill St, Marlborough, MA 01752-5900.
- What is Rachel Medrano's phone number?
- The practice phone number listed in the NPPES registry for Rachel Medrano is (508) 471-5407.
- Does Rachel Medrano accept Medicare?
- Rachel Medrano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rachel Medrano's NPI active?
- Yes — Rachel Medrano's NPI (1295515203) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.