Individual provider Active NPI

Rocklynne R Rakowitz-Varner, NP-C

  • Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1841713278
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
108635 Issued in OK
Practice address
13905 Agate Dr
Yukon, OK 73099-8234
Phone
(405) 822-4896
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 108635 OK Primary

Addresses

Primary practice location

13905 Agate Dr
Yukon, OK 73099-8234

Mailing address

13905 Agate Dr
Yukon, OK 73099-8234
Phone (405) 822-4896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129000508 OK Practitioner - Nurse Practitioner 3476810425 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Optimum Pac PLLCGroup PAC ID 3476052283, 10 clinicians

Practice addresses (Care Compare)

308 NW 153Rd St
Edmond, OK 73013-1173
Phone (405) 376-9544

Merit-based Incentive Payment System (MIPS)

Final score
60.58 of 100Reported as group
Quality
72.72
Promoting interoperability
0
Improvement activities
30
Cost
63.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Post Acute Care PLLC CurrentSince Apr 1, 2022 Accepting new patients
Optimum Pac PLLC CurrentSince Jul 1, 2025 Accepting new patients
Optimum Care Hospitalist Group PLLC CurrentSince Feb 1, 2018 Accepting new patients

Locations

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1841713278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13905 AGATE DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998234",
            "telephone_number": "405-822-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 AGATE DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998234",
            "telephone_number": "405-822-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOWITZ-VARNER",
        "first_name": "ROCKLYNNE",
        "middle_name": "R",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "108635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.