DAVID MICHAEL RACKLEY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1528668118

DAVID MICHAEL RACKLEY (PMHNP-BC) is a healthcare provider. based in Yukon, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. R0112063 (OK). The NPI Number for DAVID MICHAEL RACKLEY (PMHNP-BC) is 1528668118

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DAVID MICHAEL RACKLEY (PMHNP-BC)
NPI
1528668118
Phone
(405) 831-6692
Address
13130 SW 13TH ST
Enumeration Date
31 October 2020
Last Update Date
22 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5807404053
Graduation Year
2021 (5 years ago)
PAC ID
0345638821
Group Practice PAC ID
3173877362
Professional Enrollment ID
I20211103000432
Address ID
OK747012997DU2701XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for DAVID MICHAEL RACKLEY (PMHNP-BC)

  • 13130 SW 13TH ST

    YUKON, OK 730996368

    Phone: (405) 831-6692

    Type: Location

  • 13130 SW 13th St

    Yukon, OK 730996368

    Phone: (405) 831-6692

    Type: Location

  • 2701 W UNIVERSITY BLVD

    DURANT, OK 747012997

    Phone: (580) 740-4053

    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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-01-13 • Largest payer in this snapshot: ABBVIE INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$13
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: 2021-11-03

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
I20211103000432INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes895152$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4444$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 73099)

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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: 3173877362View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is DAVID MICHAEL RACKLEY (PMHNP-BC) listed with a National Provider Identifier?
Yes — DAVID MICHAEL RACKLEY (PMHNP-BC) has NPI 1528668118 on file in the registry.
Is DAVID MICHAEL RACKLEY (PMHNP-BC) still an active registrant?
DAVID MICHAEL RACKLEY (PMHNP-BC) carries an active NPI according to the public dataset.
What clinical focus is listed for DAVID MICHAEL RACKLEY (PMHNP-BC)?
At a glance, DAVID MICHAEL RACKLEY (PMHNP-BC) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DAVID MICHAEL RACKLEY (PMHNP-BC) associated with Yukon?
Public fields place DAVID MICHAEL RACKLEY (PMHNP-BC) around Yukon, Oklahoma. Always confirm the exact site before visiting.
Does DAVID MICHAEL RACKLEY (PMHNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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