RAVEN PARKE (PA-C) – Medical Physician Assistant, NPI 1114545928
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for RAVEN PARKE (PA-C)
27 STONEWALL RD
CONCORD, VA 245383070
Phone: (540) 986-5480
Type: Mailing
14805 FOREST RD STE 229
FOREST, VA 245515019
Phone: (434) 207-2337
Type: Location
213 18TH ST SE
ROANOKE, VA 240131311
Phone: (240) 543-7868
Type: Mailing
176 BROAD ST APT 210
DALEVILLE, VA 240831159
Phone: (540) 772-8670
Type: Mailing
4035 ELECTRIC RD STE A
ROANOKE, VA 240188449
Phone: (540) 772-8670
Type: Location
213 18th St SE
Roanoke, VA 240131311
Phone: (240) 543-7868
Type: Location
21054A Timberlake Rd
Lynchburg, VA 245027327
Phone: (434) 239-0627
Type: Location
4035 Electric Rd Ste A
Roanoke, VA 240188449
Phone: (540) 772-8670
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Novo Nordisk Inc ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $17 |
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: 2021-05-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210504000642 | I | Physician Assistant | VA | 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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 115 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 87 | 16 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 70 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 27 | 26 | $0 |
Insurance plans in this area (ZIP 24538)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA |
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