KACI RAINEY – Certified Registered Nurse Anesthetist, NPI 1720594062

KACI RAINEY is a healthcare provider. based in Marshall, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 120304 (MN). The NPI Number for KACI RAINEY is 1720594062

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KACI RAINEY
NPI
1720594062
Phone
Not provided
Address
802 S 1ST ST
Enumeration Date
22 December 2017
Last Update Date
22 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072171327
Graduation Year
2017 (9 years ago)
PAC ID
8628330180
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20180320003346
Address ID
MN560731514NE1324XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for KACI RAINEY

  • 802, South 1st Street, Marshall, Lyon County, Minnesota, 56258, United States

    MARSHALL, MN 562582304

    Phone:

    Type: Mailing

  • Avera Marshall Regional Medical Center, 300, South Bruce Street, Marshall, Lyon County, Minnesota, 56283, United States

    MARSHALL, MN 562581934

    Phone: (507) 532-9661

    Type: Location

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: 2018-03-20

PECOS data refreshed: 2026-05-27

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
I20180320003346ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
00142Anesthesia for lens surgery2323$0
View full utilization report →

Insurance plans in this area (ZIP 56258)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What identifier follows KACI RAINEY across health systems?
The NPI 1720594062 uniquely identifies KACI RAINEY in U.S. healthcare data.
Is KACI RAINEY currently accepting referrals based on NPI status?
Registry metadata lists KACI RAINEY as active.
What services align with KACI RAINEY's listing?
KACI RAINEY's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KACI RAINEY?
KACI RAINEY is associated with Marshall, Minnesota in the same public data insurers reference.
Who maintains KACI RAINEY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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