RACHEL MICHELLE MOCK – Acute Care Clinical Nurse Specialist, NPI 1063279909

RACHEL MICHELLE MOCK is a healthcare provider. based in Edmond, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. R0128713 (OK). The NPI Number for RACHEL MICHELLE MOCK is 1063279909

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL MICHELLE MOCK
NPI
1063279909
Phone
(405) 401-2161
Address
3808 WOODSHADOW RD
Enumeration Date
5 March 2024
Last Update Date
6 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052424100
Graduation Year
2024 (2 years ago)
PAC ID
2860928207
Group Practice PAC ID
8123117066
Professional Enrollment ID
I20241210000454
Address ID
OK731342513OK3601XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for RACHEL MICHELLE MOCK

  • 3808 WOODSHADOW RD

    EDMOND, OK 730033046

    Phone: (405) 401-2161

    Type: Mailing

  • 700 NE 13TH ST

    OKLAHOMA CITY, OK 731045004

    Phone: (055) 499-6904

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Baxter Healthcare ($108).

Total Amount

$108

General + Research + Ownership

Payments

1

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$108
View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-10

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
I20241210000454INurse PractitionerOKTBD

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 73003)

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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: 8123117066View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementOK
Interventional Pain Management, Anesthesiology, Pain ManagementOK
Pain Management, AnesthesiologyOK
A N E S T H E S I O L O G YOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK

Reviews

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Frequently asked questions

What federal number belongs to RACHEL MICHELLE MOCK?
The federal identifier for RACHEL MICHELLE MOCK is NPI 1063279909.
Does this profile mean RACHEL MICHELLE MOCK is currently active?
Yes — RACHEL MICHELLE MOCK appears active in the national provider directory.
Does RACHEL MICHELLE MOCK list a primary specialty?
If you are matching referrals, note Acute Care Clinical Nurse Specialist for RACHEL MICHELLE MOCK. Clinical services aligned with this taxonomy classification.
What location shows for RACHEL MICHELLE MOCK?
We surface Edmond, Oklahoma for RACHEL MICHELLE MOCK based on available NPPES addresses.
What if Edmond, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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