Individual provider Active NPI

Rachael Lee McCracken, D.O.

  • Family Medicine Physician
  • Ramona, OK
National Provider Identifier
1013229509
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q6965 Issued in TX
Practice address
400 Wyandotte Ave.
Ramona, OK 74061-0000
Phone
(918) 536-2104
NPI assigned
Jul 13, 2010
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q6965 TX
Family Medicine Physician 207Q00000X 4927 OK
Family Medicine Physician 207Q00000X Q6965 TX Primary

Addresses

Primary practice location

400 Wyandotte Ave.
Ramona, OK 74061-0000

Mailing address

400 Wyandotte Ave.
Ramona, OK 74061-0000
Phone (918) 536-2104

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrRMcCracken@cmhs.securechart.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421001691 TX Practitioner - Family Practice 1355573296 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

304 S Daugherty Ave
Eastland, TX 76448-2609
Phone (254) 629-2601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q6965TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Nov 10, 2020 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Aug 25, 2016 Accepting new patients
Muenster Hospital District Family Medicine CurrentSince May 2, 2016 Accepting new patients
Coryell County Memorial Hospital Authority Emergency Medicine CurrentSince Aug 25, 2016 Accepting new patients
Milk & Honey Medical Services PLLC Current Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Nov 10, 2020 Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine CurrentSince Sep 28, 2016 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Dec 15, 2020 Accepting new patients
Muenster Hospital District Emergency Medicine CurrentSince May 2, 2016 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients
Caney Valley Medical Foundation Family Medicine Past Accepting new patients

Locations

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

605 N Maple St
Muenster, TX 76252
Phone (940) 759-2271

Interoperability endpoints

  • Direct secure messaging: drrmccracken@cmhs.securechart.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1013229509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WYANDOTTE AVE.",
            "city": "RAMONA",
            "state": "OK",
            "postal_code": "740610000",
            "telephone_number": "918-536-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WYANDOTTE AVE.",
            "city": "RAMONA",
            "state": "OK",
            "postal_code": "740610000",
            "telephone_number": "918-536-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "RACHAEL",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q6965",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4927",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrRMcCracken@cmhs.securechart.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Messaging Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ramona, OK

Sources for this page

Verify at the official NPI Registry.