RAE MARIE MCDIVITT (ARNP) – Family Nurse Practitioner, NPI 1770931412

RAE MARIE MCDIVITT (ARNP) is a healthcare provider. based in Audubon, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. A125071 (IA). The NPI Number for RAE MARIE MCDIVITT (ARNP) is 1770931412

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
RAE MARIE MCDIVITT (ARNP)
NPI
1770931412
Phone
(712) 563-2611
Address
515 PACIFIC AVE
Enumeration Date
2 June 2016
Last Update Date
2 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7125632611
Graduation Year
2016 (10 years ago)
PAC ID
0143514810
Group Practice PAC ID
7618866096
Professional Enrollment ID
I20160803003055
Address ID
IA500251056AU515XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,541 NURSE PRACTITIONER in IA

Provider Addresses for RAE MARIE MCDIVITT (ARNP)

  • 515 PACIFIC AVE

    AUDUBON, IA 500251056

    Phone: (712) 563-2611

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160803003055INurse PractitionerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 50025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618866096View full group profile
NameSpecialtyState
Nurse PractitionerIA
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerIA
General SurgeryIA
Nurse PractitionerNC
Nurse PractitionerIA
Internal Medicine, Cardiovascular Disease (Cardiology)TX
Emergency Medicine, Internal MedicineWI
Medical OncologyIA

Reviews

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Frequently asked questions

What is RAE MARIE MCDIVITT (ARNP)'s NPI number?
RAE MARIE MCDIVITT (ARNP)'s NPI is 1770931412 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to RAE MARIE MCDIVITT (ARNP)?
You should see RAE MARIE MCDIVITT (ARNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for RAE MARIE MCDIVITT (ARNP)?
At a glance, RAE MARIE MCDIVITT (ARNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is RAE MARIE MCDIVITT (ARNP) associated with Audubon?
Public fields place RAE MARIE MCDIVITT (ARNP) around Audubon, Iowa. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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