Shelley Larae Rauh, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hennessey, Oklahoma. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Integris Ambulatory Care Corporation and her current practice location is
500 N Main St, Hennessey, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 853-6100.
Shelley Larae Rauh is licensed to practice in Oklahoma (license number 209030) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386377000.
Provider's Profile
| Full Name | Shelley Larae Rauh |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 500 N Main St, Hennessey, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shelley Larae Rauh graduated from nursing school in 2022
NPI Data:
- NPI Number: 1386377000
- Provider Enumeration Date: 07/09/2022
- Last Update Date: 06/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486022506
- Enrollment ID: I20221122000457
Medical Identifiers
Medical identifiers for Shelley Larae Rauh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386377000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209030 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Integris Ambulatory Care Corporation | 2365408465 | 564 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelley Larae Rauh allows following entities to bill medicare on her behalf.
| Entity Name | Integris Bass Baptist Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124029293 PECOS PAC ID: 0345151981 Enrollment ID: O20031103000717 |
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| Entity Name | Stillwater Medical Center Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
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| Entity Name | Integris Ambulatory Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelley Larae Rauh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shelley Larae Rauh, APRN 3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640 Ph: (405) 853-6100 | Shelley Larae Rauh, APRN 500 N Main St, Hennessey, OK 73742-1019 Ph: (405) 853-6100 |
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