RAVEN A MCCUTCHEON – Registered Dietitian, NPI 1134964646

RAVEN A MCCUTCHEON is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. The NPI Number for RAVEN A MCCUTCHEON is 1134964646

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
RAVEN A MCCUTCHEON
NPI
1134964646
Phone
(405) 948-4900
Address
4913 W RENO AVE
Enumeration Date
26 June 2024
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4059484900
Graduation Year
2024 (2 years ago)
PAC ID
9830623479
Group Practice PAC ID
3476617374
Professional Enrollment ID
I20241105003060
Address ID
OK731281112OK5208XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

106 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OK

Provider Addresses for RAVEN A MCCUTCHEON

  • 4913 W RENO AVE

    OKLAHOMA CITY, OK 731276339

    Phone: (405) 948-4900

    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: 2024-11-05

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
I20241105003060IRegistered Dietitian Or Nutrition ProfessionalTXTBD

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 73127)

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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: 3476617374View full group profile
NameSpecialtyState
Nurse PractitionerOK
Physician AssistantOK
N E U R O L O G YOK
Nurse PractitionerOK
Marriage And Family TherapistOK
Nurse PractitionerOK
Family PracticeOK
Mental Health CounselorOK
Family PracticeMD
Registered Dietitian Or Nutrition ProfessionalOK

Reviews

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Frequently asked questions

What is the standard ID for RAVEN A MCCUTCHEON in the U.S.?
In the U.S., RAVEN A MCCUTCHEON is identified by NPI 1134964646.
Quick check: is RAVEN A MCCUTCHEON active?
Public NPPES data shows RAVEN A MCCUTCHEON with an active NPI status right now.
What services align with RAVEN A MCCUTCHEON's listing?
RAVEN A MCCUTCHEON's public classification highlights Registered Dietitian. Clinical services aligned with this taxonomy classification.
Is RAVEN A MCCUTCHEON tied to Oklahoma City, Oklahoma?
If you are local to Oklahoma City, Oklahoma, RAVEN A MCCUTCHEON may be relevant to your search.
Can I export RAVEN A MCCUTCHEON's record?
You can download the official NPPES record; we summarize key fields for readability.

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