Active NPI
Jennifer L. Rau, PA
- Physician Assistant
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1566
- Practice address
- 8509 S Fir Ave
Broken Arrow, OK 74011-1220 - Phone
- (918) 286-0412
- NPI assigned
- Dec 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1566 | OK | Primary |
Addresses
Primary practice location
8509 S Fir Ave
Broken Arrow, OK 74011-1220
Mailing address
PO Box 22063
Dept 0491
Tulsa, OK 74121-2063
Phone (405) 751-4554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200108800A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 S 5TH St
St Marys Regional Medical Center
Enid, OK 73701-5832
Phone (580) 233-6100
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200
Hospital & facility affiliations
- Cherokee Nation W W Hastings Indian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 72.78
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.77
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.51 of 100
- Quality
- 84.87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1566 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Oklahoma TCS LLC | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Ies ER Oklahoma LLC | Current | Accepting new patients | |
| Mednow Urgent Care Center LLC | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients |
Locations
503 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 286-6331
101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200
305 S 5th St
Enid, OK 73701
Phone (580) 233-6100
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
Muskogee, OK 74403
Phone (918) 687-0201
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
395200 W 2900 Rd
Ochelata, OK 74051
Phone (918) 535-6000
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
821 Amohi Ln
Salina, OK 74365
Phone (918) 434-8500
301 S J T Stites St
Sallisaw, OK 74955
Phone (918) 774-1400
471688 Highway 51
Stilwell, OK 74960
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
Dept 2269
Tulsa, OK 74182
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1043932486
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
- Primary Care Clinic/Center
- Coweta, OK
- NPI 1316183536
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Vinita, OK
- NPI 1558377226
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1164584868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22063",
"address_2": "DEPT 0491",
"city": "TULSA",
"state": "OK",
"postal_code": "741212063",
"telephone_number": "405-751-4554",
"fax_number": "405-749-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8509 S FIR AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740111220",
"telephone_number": "918-286-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAU",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-16",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200108800A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.