RAINA MACY WRATHER (PA-C) – Physician Assistant, NPI 1124898093

RAINA MACY WRATHER (PA-C) is a healthcare provider. based in Hulbert, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5130 (OK). The NPI Number for RAINA MACY WRATHER (PA-C) is 1124898093

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
RAINA MACY WRATHER (PA-C)
NPI
1124898093
Phone
(918) 708-3602
Address
129 E MAIN ST
Enumeration Date
3 January 2024
Last Update Date
3 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
7618329616
Group Practice PAC ID
3678482635
Professional Enrollment ID
I20240116000347
Address ID
OK744643234TA1500XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for RAINA MACY WRATHER (PA-C)

  • 129 E MAIN ST

    HULBERT, OK 744418901

    Phone: (918) 708-3602

    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: 2024-01-16

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
I20240116000347IPhysician AssistantOKTBD

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 74441)

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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: 3678482635View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Family Practice, Internal MedicineOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerOK
Physician AssistantAR

Reviews

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Frequently asked questions

What is the standard ID for RAINA MACY WRATHER (PA-C) in the U.S.?
In the U.S., RAINA MACY WRATHER (PA-C) is identified by NPI 1124898093.
Is RAINA MACY WRATHER (PA-C)'s NPI status active today?
Active status means RAINA MACY WRATHER (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say RAINA MACY WRATHER (PA-C) does?
Insurance directories may phrase it differently, but here RAINA MACY WRATHER (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is RAINA MACY WRATHER (PA-C) tied to Hulbert, Oklahoma?
If you are local to Hulbert, Oklahoma, RAINA MACY WRATHER (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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