DR. MIRANDA MCINTYRE RAICHE (M.D.) – Family Medicine Physician, NPI 1275560781

DR. MIRANDA MCINTYRE RAICHE (M.D.) is a healthcare provider. based in Leavenworth, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD00046640 (WA). The NPI Number for DR. MIRANDA MCINTYRE RAICHE (M.D.) is 1275560781

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIRANDA MCINTYRE RAICHE (M.D.)
NPI
1275560781
Phone
(509) 548-3431
Address
817 COMMERCIAL ST
Enumeration Date
28 June 2006
Last Update Date
6 July 2017

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2068487500
Graduation Year
2002 (24 years ago)
PAC ID
0244202075
Group Practice PAC ID
6608260534
Professional Enrollment ID
I20060814000403
Address ID
WA988025300EA201XXPKWY401
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

4,141 FAMILY PRACTICE in WA

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Provider Addresses for DR. MIRANDA MCINTYRE RAICHE (M.D.)

  • Cascade Medical Center, 817, Commercial Street, Leavenworth, Chelan County, Washington, 98826, United States

    LEAVENWORTH, WA 988261316

    Phone: (509) 548-3431

    Fax: (509) 548-2510

    Type: Mailing

  • Jasmine Street, Omak, Okanogan County, Washington, 98841, United States

    OMAK, WA 988419589

    Phone: (509) 826-1600

    Fax: (509) 826-3633

    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: 2006-08-14

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
I20060814000403IFamily PracticeWATBD

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 98826)

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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: 6608260534View full group profile
NameSpecialtyState
Family PracticeWA
Nurse PractitionerWA
Physician AssistantWA
Family PracticeWA
Internal MedicineNY
Clinical Social WorkerID

Reviews

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Frequently asked questions

What number should I use to identify DR. MIRANDA MCINTYRE RAICHE (M.D.) for billing?
Administrative and clinical systems typically use NPI 1275560781 for DR. MIRANDA MCINTYRE RAICHE (M.D.).
Does the public listing show DR. MIRANDA MCINTYRE RAICHE (M.D.) as active?
DR. MIRANDA MCINTYRE RAICHE (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. MIRANDA MCINTYRE RAICHE (M.D.)?
NPPES ties DR. MIRANDA MCINTYRE RAICHE (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MIRANDA MCINTYRE RAICHE (M.D.)?
DR. MIRANDA MCINTYRE RAICHE (M.D.) shows a connection to Leavenworth, Washington in registry-derived data.
Can I export DR. MIRANDA MCINTYRE RAICHE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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