Tarah Jean Rakoski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007716 Issued in MI

Practice address

819 N Shiawassee St Ste 200
Owosso, MI 48867-1601

Phone

(989) 541-2663

Fax

(989) 723-3601

NPI assigned

Nov 5, 2015

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tarah Jean Pitt Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Memorial Hospital

  dba Memorial Medical Associates

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532
  Medicare reassignment Care Compare group
• Mymichigan Medical Center Clare

  • General Practice Physician
  • Clare, MI
  • NPI 1134394026

  Physician Assistant

  Medicare reassignment NPD
• Degara App, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
  • NPI 1265976971
  Medicare reassignment
• Ecs Central Michigan PC

  • Emergency Medicine Physician
  • Owosso, MI
  • NPI 1043711930
  Medicare reassignment
• Legacy Physician Group, P.C.

  • Specialist
  • Lansing, MI
  • NPI 1801800719
  Medicare reassignment
• Sparrow Clinton Hospital

  dba University of Michigan Health-Sparrow Clinton Hospital Emergency Depar

  • Emergency Medicine Physician
  • Saint Johns, MI
  • NPI 1396827952
  Medicare reassignment
• Memorial Hospital

  dba Memorial Healthcare

  • General Practice Physician
  • Owosso, MI
  • NPI 1609030600

  Physician Assistant

  NPD
• Memorial Hospital

  dba Memorial Medical Associates

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD
• Mymichigan Medical Center Clare

  dba MidMichigan Urgent Care - Clare

  • Urgent Care Clinic/Center
  • Clare, MI
  • NPI 1225081862
  NPD
• Sparrow Clinton Hospital

  dba SMG St Johns

  • Multi-Specialty Clinic/Center
  • Saint Johns, MI
  • NPI 1306893078
  NPD
• Lansing Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1780987990
  NPD (past)
• Memorial Hospital

  dba Memorial Medical Associates

  • General Practice Physician
  • Owosso, MI
  • NPI 1316008006

  Physician Assistant

  NPD (past)

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

• Memorial Hospital

  dba Memorial Healthcare

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1982077400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 200",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-541-2663",
            "fax_number": "989-723-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 200",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-541-2663",
            "fax_number": "989-723-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOSKI",
        "first_name": "TARAH",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982077400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARAH",
            "last_name": "PITT",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Owosso, MI
• Providers in Owosso, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.

Verify at the official NPI Registry.