Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rachel Chacko, AGACNP-BC, CCRN

Individual provider Critical Care Medicine Registered Nurse · NPI 1043065964

Rachel Chacko, AGACNP-BC, CCRN is a Nurse Practitioner in Detroit, Michigan. Qualified in 2024, 2 years ago. Practices with Vhs Physicians of Michigan, a 217-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-5111
Fax: (313) 745-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704350190 (MI)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 4704350190 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704350190 (MI)

Record details

NPI number1043065964
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC , CCRN
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Vhs Physicians Of Michigan — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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