JENNIFER L. RAU (PA) – Physician Assistant, NPI 1164584868

JENNIFER L. RAU (PA) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1566 (OK). The NPI Number for JENNIFER L. RAU (PA) is 1164584868

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L. RAU (PA)
NPI
1164584868
Phone
(405) 751-4554
Address
PO BOX 22063
Enumeration Date
16 December 2006
Last Update Date
3 November 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184942200
Graduation Year
2006 (20 years ago)
PAC ID
3476650599
Group Practice PAC ID
5395234678
Professional Enrollment ID
I20070523000641
Address ID
OK741361902TU6161XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for JENNIFER L. RAU (PA)

  • PO BOX 22063

    DEPT 0491

    TULSA, OK 741212063

    Phone: (405) 751-4554

    Fax: (405) 749-4561

    Type: Mailing

  • 8509, South Fir Avenue, Bentley Village, Broken Arrow, Tulsa, Oklahoma, 74011, United States

    BROKEN ARROW, OK 740111220

    Phone: (918) 286-0412

    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: 2023-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070523000641IPhysician AssistantOKTBD
I20230807001590IPhysician AssistantTXTBD

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
99284Emergency department visit with moderate level of medical decision making110106$0
99285Emergency department visit with high level of medical decision making5150$0
99283Emergency department visit with low level of medical decision making3030$0
View full utilization report →

Insurance plans in this area (ZIP 74121)

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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: 5395234678View full group profile
NameSpecialtyState
Nurse PractitionerWI
Emergency MedicineTX
Physician AssistantOK
Emergency MedicineCA
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantMO
Emergency MedicineID

Reviews

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Frequently asked questions

Where can patients find JENNIFER L. RAU (PA)'s NPI?
You can confirm JENNIFER L. RAU (PA) with NPI 1164584868; it appears in the national provider directory.
Does this profile mean JENNIFER L. RAU (PA) is currently active?
Yes — JENNIFER L. RAU (PA) appears active in the national provider directory.
Does JENNIFER L. RAU (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for JENNIFER L. RAU (PA). Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER L. RAU (PA)?
We surface Tulsa, Oklahoma for JENNIFER L. RAU (PA) based on available NPPES addresses.
How can I contact JENNIFER L. RAU (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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