Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Rachel Marie Saenz , MSN, APRN, AGPCNP-C

Nurse Practitioner • Pahrump, NV

Active NPI 1649622291 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

2780 Homestead Rd Ste 105
Pahrump, NV 890485464

Call 7603825115 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2780 Homestead Rd Ste 105

Pahrump, NV 890485464

Telephone 7603825115
Fax 7024415758
Organization at the Same NPPES Address or Phone
Spine And Wellness Management Group Llc Facility NPI 1447848221

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Medicare patients

557 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $1,148,628 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $878,583 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

8,066 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$406,019 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $219.66 across 2 records.

By nature of payment

  • Food and Beverage: $219.66 across 2 records.

Reporting-company totals

  • ABBVIE INC.: $219.66 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Rachel Saenz has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Rachel Saenz as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pahrump and Nevada

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Nevada (2024, 433 clinicians with data). Median for this group: 217. Middle half: 76 to 803.

Too few clinicians listed under Nurse Practitioner in Pahrump have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Nevada (2024, 433 clinicians with data). Median for this group: $19,144. Middle half: $6,725 to $60,379.

Too few clinicians listed under Nurse Practitioner in Pahrump have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Nevada (2024, 433 clinicians with data). Median for this group: $14,485. Middle half: $4,941 to $43,005.

Too few clinicians listed under Nurse Practitioner in Pahrump have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Nevada (2024, 459 clinicians with data). Median for this group: 388. Middle half: 87 to 1,542.

Too few clinicians listed under Nurse Practitioner in Pahrump have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Nevada (2024, 459 clinicians with data). Median for this group: $17,099. Middle half: $1,291 to $124,956.

Too few clinicians listed under Nurse Practitioner in Pahrump have Medicare Part D data for 2024 to compare.

9 active clinicians are listed under Nurse Practitioner with a practice address in Pahrump, NV (907 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $219.66.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $120.34
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $99.32

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
13,643 180 $65.00 $18.86
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
9,444 168 $80.02 $23.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
3,867 170 $55.00 $19.39
97012 Application of mechanical traction
3,709 138 $42.00 $9.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
2,560 224 $104.50 $36.02
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
1,931 153 $28.00 $7.74
97530 Therapy procedure using functional activities
979 43 $67.00 $30.02
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
838 258 $205.05 $80.70
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
770 203 $248.36 $97.87
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
543 220 $162.35 $69.68
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
528 212 $82.20 $32.38
29520 Placement of strapping to hip
445 77 $100.00 $26.93
99091 Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days
370 159 $104.62 $41.21
20552 Injection of trigger points, 1-2 muscles
366 65 $130.00 $43.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
366 223 $263.63 $90.39
20553 Injection of trigger points, 3 or more muscles
289 34 $170.00 $49.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
271 201 $104.92 $41.36
29240 Placement of strapping to shoulder
261 53 $76.00 $21.43
29530 Placement of strapping to knee
196 19 $76.00 $23.13
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
158 101 $369.90 $142.69
72070 X-ray of middle spine, 2 views
150 136 $150.00 $27.42
72050 X-ray of upper spine, 4-5 views
149 135 $250.00 $44.66
72100 X-ray of lower and sacral spine, 2-3 views
149 135 $200.00 $33.25
99496 Transitional care management services for problem of high complexity
132 99 $549.86 $200.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
114 114 $275.21 $96.58

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gabapentin Gabapentin 204 9,821 $3,500.33 54
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 194 4,982 $4,135.99 33
Atorvastatin Calcium Atorvastatin Calcium 169 9,037 $1,877.27 46
Levothyroxine Sodium Levothyroxine Sodium 169 8,325 $1,270.03 35
Amlodipine Besylate Amlodipine Besylate 163 9,530 $1,217.68 55
Quetiapine Fumarate Quetiapine Fumarate 132 5,612 $1,909.75 30
Albuterol Sulfate Hfa Albuterol Sulfate 126 3,149 $4,589.35 42
Pantoprazole Sodium Pantoprazole Sodium 124 8,166 $1,474.70 41
Montelukast Sodium Montelukast Sodium 116 5,016 $982.15 24
Famotidine Famotidine 110 5,336 $1,035.00 30
Metformin Hcl Metformin Hcl 107 6,333 $804.35 35
Furosemide Furosemide 103 6,284 $461.68 44
Alprazolam Alprazolam 100 2,745 $839.52 19
Azithromycin Azithromycin 94 706 $425.72 62
Metoprolol Tartrate Metoprolol Tartrate 89 6,178 $647.51 35
Eliquis Apixaban 88 3,983 $75,314.69 19
Lisinopril Lisinopril 84 5,300 $540.77 30
Ventolin Hfa Albuterol Sulfate 83 2,147 $4,917.97 21
Omeprazole Omeprazole 78 3,480 $559.67 16
Potassium Chloride Potassium Chloride 76 4,669 $1,263.56 26
Tamsulosin Hcl Tamsulosin Hcl 74 3,281 $1,059.25 20
Sertraline Hcl Sertraline Hcl 72 4,058 $734.24 22
Clopidogrel Clopidogrel Bisulfate 68 4,685 $707.72 21
Losartan Potassium Losartan Potassium 67 4,328 $769.44 19
Oxycodone Hcl Oxycodone Hcl 59 1,459 $937.72 14

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES NV APRN002256

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20161108002376

Enrollment State Jurisdiction

NV

PECOS Control ID

9537448915

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1245646595

Doctor of Chiropractic

NPI 1467809988

Doctor of Chiropractic

NPI 1457836348

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
📍
Updated Practice Location May 14, 2024

Registered at 2780 HOMESTEAD RD STE 105, PAHRUMP, NV 890485464 (Tel: 7603825115)

📍
Updated Business Mailing Address May 14, 2024

Registered at 8964 TEMPEST POINT CT, LAS VEGAS, NV 891476573 (Tel: 7603825115)

âś…
NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2018

Registered at 8020 W SAHARA AVE STE 210, LAS VEGAS, NV 891177917 (Tel: 7023606003)

📍
Updated Business Mailing Address January 23, 2018

Registered at 8020 W SAHARA AVE STE 210, LAS VEGAS, NV 891177917 (Tel: 7023606003)

👤
Provider Name / Credentials Updated January 23, 2018

Recorded as RACHEL SAENZ, MSN, APRN, AGPCNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Nurse Practitioner (license number reported to NPPES: NV APRN002256)

âś…
NPI Profile Active July 07, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 07, 2016

Registered at 3510 E TROPICANA AVE STE K, LAS VEGAS, NV 891217341 (Tel: 7029471000)

📍
Business Mailing Address (Initial Record) July 07, 2016

Registered at 3510 E TROPICANA AVE STE K, LAS VEGAS, NV 891217341 (Tel: 7029471000)

👤
Provider Name / Credentials (Initial Record) July 07, 2016

Recorded as RACHEL SAENZ, MSN, APRN, AGPCNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2016

Nurse Practitioner (license number reported to NPPES: NV APRN002256)

🟢
Initial NPI Registration & Enumeration July 07, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649622291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2016
Last Update: May 14, 2024
Sole Proprietor: No

Other Nurse Practitioners in Pahrump

Healthcare providers in Pahrump

Mailing Address

8964 Tempest Point Ct

Las Vegas, NV 891476573

Phone: 7603825115

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.