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Rachel Ellenbogen, PA-C

NPI 1669974101ActiveIndividual· Physician Assistant· Reston, VA

Physician Assistant (PA-C) in Reston, Virginia, with an NPI issued in February 2018. Mostly services rather than prescriptions: Medicare paid $2,134 for 20 patients in 2024, with only 22 Part D claims.

Overview

NPI1669974101
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedFeb 28, 2018
Last updated in NPPESFeb 3, 2020
Certified by providerFeb 3, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients20
Services billed28 across 11 procedure codes
Paid by Medicare$2,134

Part D prescriptions in 2024

Prescriptions (claims)22 · 22 30-day fills
Patients18
Total drug cost$169.20
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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