RISE RAFFERTY – Registered Dietitian, NPI 1912364662

Registered Dietitian

RISE RAFFERTY is a healthcare provider. based in Eugene, Oregon. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold a License No. LDD10174002 (OR). The NPI Number for RISE RAFFERTY is 1912364662

Main info

Female

6 Years Of Experience

Accepts Medicare Assignment

Name

RISE RAFFERTY

NPI

1912364662

Phone

(541) 485-3636

Address

10 COBURG RD STE 201

Enumeration Date

26 January 2016

Last Update Date

17 April 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

50365250701

Graduation Year

2020 (6 years ago)

PAC ID

6608172093

Group Practice PAC ID

4587759436

Professional Enrollment ID

I20160310002096

Address ID

OR972222244MI6542XRDXX403

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience34

Completeness75

Years active:10State licenses:1Digital endpointsOther names

154 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OR

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Provider Addresses for RISE RAFFERTY

201, Coburg Road, Eugene, Lane County, Oregon, 97401, United States
EUGENE, OR 97401
Phone: (541) 485-3636
Fax: (541) 344-4305
Type: Location
PO BOX 1517
PENDLETON, OR 978010410
Phone: (541) 278-4332
Fax: (541) 278-8332
Type: Mailing
10101 SE Main St Ste 1001
Portland, OR 972162456
Phone: (503) 255-3404
Type: Location
10 Coburg Rd Ste 201
Eugene, OR 97401
Phone: (541) 485-3636
Fax: (541) 344-4305
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: 2022-04-14

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20160310002096	I	Registered Dietitian Or Nutrition Professional	OR	TBD
I20220414000900	I	Registered Dietitian Or Nutrition Professional	WA	TBD

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 97401)

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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: 4587759436View full group profile