TERESA RAE
NPI 1164088464
Case Manager/Care Coordinator in Dayton, WA

Q: What is Teresa Rae's NPI number?

The NPI number for Teresa Rae is 1164088464. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Q: What is Teresa Rae's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Rae was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment

221 E WASHINGTON AVE, DAYTON, WA 99328(509) 382-1164(509) 382-1166 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Teresa Rae NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA RAE (NPI 1164088464) is an individual case manager/care coordinator provider in Dayton, Washington and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164088464

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameTERESA RAE

Location Address221 E WASHINGTON AVEDayton, WA 99328-1317

Mailing Address221 E Washington AveDayton, WA 99328-1317 · (509) 382-1164 · Fax (509) 382-1166

Phone(509) 382-1164

Fax(509) 382-1166

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 13, 2019

✔ NPI 1164088464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

221 E WASHINGTON AVE, Dayton, WA 99328

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa Rae is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971022971

PECOS Enrollment IDI20250522001846

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEAL FLETCHER

Case Manager/Care Coordinator