RASHA ISSOU – Family Nurse Practitioner, NPI 1942000799

Family Nurse Practitioner

RASHA ISSOU is a healthcare provider. based in Ballwin, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2025008484 (MO). The NPI Number for RASHA ISSOU is 1942000799

Main info

Female

2 Years Of Experience

Accepts Medicare Assignment

Name

RASHA ISSOU

NPI

1942000799

Phone

Not provided

Address

15 REMINGTON PLACE CT

Enumeration Date

18 March 2025

Last Update Date

18 March 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8169313400

Graduation Year

2024 (2 years ago)

PAC ID

1052838406

Group Practice PAC ID

3375999386

Professional Enrollment ID

I20250508001625

Address ID

MO64131XXXXKAXXXXXXXXXX00

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness75

Years active:1State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for RASHA ISSOU

15 REMINGTON PLACE CT
BALLWIN, MO 630216369
Phone:
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: 2025-05-08

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20250508001625	I	Nurse Practitioner	MO	TBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63021)

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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: 3375999386View full group profile