Rachael Elizabeth Gregory , FNP
Nurse Practitioner • Reno, NV
5470 Kietzke Ln Ste 314
Reno, NV 895113023
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Rachael Gregory is listed in NPPES under Nurse Practitioner.
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NPI assigned on July 20, 2011; this date does not establish years in practice.
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Published CMS data list 60 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 46 service units.
- 99205 — New patient outpatient office visit: 14 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 1,793 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Donepezil Hcl — 198 prescription fills, including refills.
- Levetiracetam — 151 prescription fills, including refills.
- Lacosamide — 137 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 41 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 44 clinicians with data). Median for this group: 498. Middle half: 113 to 833.
Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Nevada (2024, 433 clinicians with data). Median for this group: 217. Middle half: 76 to 803.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 38,814 in 2019 to 60 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2024.
Practice Location & Contact Primary Location
5470 Kietzke Ln Ste 314
Reno, NV 895113023
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Redding, CA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Catalyst Neuromedical Center Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2011
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
64 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $7,744 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $6,081 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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
2,337 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
$306,165 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 2025
All general payments: $1,629.14 across 17 records.
By nature of payment
- Consulting Fee: $1,120.00 across 1 record.
- Food and Beverage: $509.14 across 16 records.
Reporting-company totals (3 largest of 8)
- UCB, Inc.: $1,408.07 across 8 records.
- ABBVIE INC.: $53.14 across 2 records.
- Novartis Pharmaceuticals Corporation: $47.93 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.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2011
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
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.
Enrolled in Medicare (PECOS)
Rachael Gregory 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.
Can order Medicare-covered services
CMS lists Rachael Gregory 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Reno and Nevada
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 44 clinicians with data). Median for this group: 498. Middle half: 113 to 833.
Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Nevada (2024, 433 clinicians with data). Median for this group: 217. Middle half: 76 to 803.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 44 clinicians with data). Median for this group: $37,584. Middle half: $10,856 to $69,259.
A lower Medicare-allowed amount than 70% 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.
Paid by Medicare
A lower Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 44 clinicians with data). Median for this group: $28,260. Middle half: $7,722 to $49,362.
A lower Medicare payment amount than 70% 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.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 53 clinicians with data). Median for this group: 299. Middle half: 152 to 678.
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Nevada (2024, 459 clinicians with data). Median for this group: 388. Middle half: 87 to 1,542.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Reno, NV (2024, 53 clinicians with data). Median for this group: $8,756. Middle half: $1,331 to $117,627.
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.
130 active clinicians are listed under Nurse Practitioner with a practice address in Reno, NV (907 in Nevada).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Reno
6.9% of these 130 clinicians have the CMS telehealth indicator.
46.2% of these 130 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 100% from 38,814 in 2019 to 60 in 2024.
- 2019: 38,814
- 2020: 36,589
- 2021: 229
- 2022: 19
- 2024: 60
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Medicare-allowed amount
Medicare-allowed amount decreased 97% from $276,924 in 2019 to $7,744 in 2024.
- 2019: $276,924
- 2020: $259,121
- 2021: $21,442
- 2022: $2,138
- 2024: $7,744
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Paid by Medicare
Paid by Medicare decreased 97% from $215,723 in 2019 to $6,081 in 2024.
- 2019: $215,723
- 2020: $200,604
- 2021: $13,793
- 2022: $1,266
- 2024: $6,081
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 24% from 2,368 in 2020 to 1,793 in 2024.
- 2020: 2,368
- 2021: 1,498
- 2022: 1,146
- 2023: 145
- 2024: 1,793
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30-day fills
30-day fills decreased 30% from 3,317 in 2020 to 2,337 in 2024.
- 2020: 3,317
- 2021: 2,155
- 2022: 1,550
- 2023: 198
- 2024: 2,337
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Part D drug cost
Part D drug cost decreased 56% from $698,676 in 2020 to $306,165 in 2024.
- 2020: $698,676
- 2021: $528,259
- 2022: $269,388
- 2023: $47,055
- 2024: $306,165
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 58% from $3,903.12 in 2021 to $1,629.14 in 2025.
- 2021: $3,903.12
- 2022: $3,121.48
- 2023: $5,580.68
- 2024: $7,403.26
- 2025: $1,629.14
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), 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
Program year 2025 (payments made January 1 – December 31, 2025): 17 records totaling $1,629.14.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| UCB, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $1,120.00 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Nayzilam | General | $124.46 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Briviact | General | $33.94 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Briviact | General | $30.36 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Briviact | General | $29.70 |
| Neurelis, Inc. |
Food and Beverage
In-kind items and services
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VALTOCO | General | $29.34 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $27.71 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $26.82 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $25.43 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
ULTOMIRIS | General | $25.00 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
KESIMPTA | General | $24.50 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Fintepla | General | $23.79 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Briviact | General | $23.72 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
KESIMPTA | General | $23.43 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Briviact | General | $22.10 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
NURTEC ODT | General | $21.64 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $17.20 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
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 |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
46 | 45 | $405.00 | $110.86 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
14 | 14 | $688.00 | $188.86 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Donepezil Hcl | Donepezil Hcl | 198 | 9,235 | $2,571.78 | 66 |
| Levetiracetam | Levetiracetam | 151 | 5,648 | $5,773.82 | 44 |
| Lacosamide | Lacosamide | 137 | 4,443 | $17,792.80 | 31 |
| Duloxetine Hcl | Duloxetine Hcl | 121 | 5,123 | $3,324.30 | 35 |
| Gabapentin | Gabapentin | 116 | 4,288 | $1,609.50 | 26 |
| Lamotrigine | Lamotrigine | 76 | 3,723 | $1,306.40 | 23 |
| Pregabalin | Pregabalin | 62 | 2,310 | $1,533.85 | 12 |
| Nortriptyline Hcl | Nortriptyline Hcl | 60 | 2,714 | $782.10 | 13 |
| Trazodone Hcl | Trazodone Hcl | 59 | 1,968 | $222.92 | 16 |
| Memantine Hcl | Memantine Hcl | 54 | 2,183 | $1,714.21 | 20 |
| Levetiracetam Er | Levetiracetam | 53 | 1,890 | $3,536.67 | 17 |
| Nurtec Odt | Rimegepant Sulfate | 47 | 1,254 | $58,931.85 | 14 |
| Lamotrigine Er | Lamotrigine | 44 | 1,616 | $16,152.47 | — |
| Lorazepam | Lorazepam | 43 | 1,211 | $106.33 | 36 |
| Amitriptyline Hcl | Amitriptyline Hcl | 39 | 1,625 | $498.49 | — |
| Emgality Pen | Galcanezumab-Gnlm | 36 | 1,380 | $32,488.30 | — |
| Phenobarbital | Phenobarbital | 32 | 1,035 | $674.64 | — |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 31 | 1,650 | $526.61 | — |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 30 | 480 | $339.21 | 14 |
| Xcopri | Cenobamate | 29 | 918 | $32,917.29 | — |
| Divalproex Sodium Er | Divalproex Sodium | 28 | 966 | $2,970.28 | — |
| Quetiapine Fumarate | Quetiapine Fumarate | 27 | 1,270 | $338.64 | — |
| Rizatriptan | Rizatriptan Benzoate | 24 | 882 | $468.59 | — |
| Carbamazepine Er | Carbamazepine | 22 | 998 | $1,884.89 | — |
| Fycompa | Perampanel | 21 | 690 | $24,699.81 | — |
(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: 2026-07-31NUCC Taxonomy Code: 363L00000X
(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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20240123000953
CA
3577797646
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Catalyst Neuromedical Center Pc
2420 Sonoma St, Redding, CA 960013033
Phone: 5309992407
Secondary Practice Locations
2420 Sonoma St Ste B
Redding, CA 960013033
Phone: 5309992533
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5470 KIETZKE LN STE 314, RENO, NV 895113023 (Tel: 7755380880)
Registered at 5470 KIETZKE LN STE 314, RENO, NV 895113023 (Tel: 7755380880)
Registered at 7777 NAVASOTA DR, SPARKS, NV 894369429 (Tel: 7755380880)
Registered at 7777 NAVASOTA DR, SPARKS, NV 894369429 (Tel: 7755380880)
Recorded as RACHAEL GREGORY, FNP
Registered at 2420 SONOMA ST STE B, REDDING, CA 960013033 (Tel: 5309992533)
Registered at 2420 SONOMA ST STE B, REDDING, CA 960013033 (Tel: 5309992533)
Registered at 1155 MILL ST # M14, RENO, NV 895021576 (Tel: 7759825262)
Registered at 75 PRINGLE WAY STE 401, RENO, NV 895021476 (Tel: 7759825000)
Registered at 850 HARVARD WAY, RENO, NV 895022055 (Tel: 7759825262)
NPI status registered as active in NPPES database
Registered at 85 KIRMAN AVE, SUITE 301, RENO, NV 895021339 (Tel: 7759822970)
Registered at 780 KUENZLI ST, SUITE 202, RENO, NV 895020845 (Tel: 7759825205)
Recorded as RACHAEL GARDNER, FNP
Nurse Practitioner (license number reported to NPPES: NV APRN001280)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Reno
- Sarah Quinn, APRN
- Lindsey Comeau, APRN
- Shelby Mood, FNP-BC
- Samantha Chanel Potenciano, APRN
- Amy Quigley, APRN
- Elizabeth Krayk, APRN
Mailing Address
5470 Kietzke Ln Ste 314
Reno, NV 895113023
Phone: 7755380880