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

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: October 25, 2026.

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Rae reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Mountain Counseling Of Columbia County
Same address
Adult Mental Health
221 E WASHINGTON AVE
Dayton, WA 99328
  • Reassigned Medicare billing, Washington enrollment
  • 3 clinicians in this Medicare group
NPI 1922040526 (509) 382-1164

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
221 E WASHINGTON AVE
DAYTON, WA 99328
Columbia County (509) 382-1164
BEVERLY JUNE STARTIN
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Columbia County (509) 382-1164
MR. KENNETH R ROUGHTON PHD
Psychologist (Clinical)
221 E WASHINGTON AVE
DAYTON, WA 99328
Columbia County (509) 382-1164
MICHELLE FULBRIGHT
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Columbia County (509) 382-1164
DIMITA WARREN BA
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Columbia County (509) 382-1164
MARGARET GUTIERREZ
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Columbia County (509) 382-1164
GINGER M MASTOR MSW
Social Worker
221 E WASHINGTON AVE
DAYTON, WA 99328
Columbia County (509) 382-1164
MELINDA GUTHRIE
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Columbia County (509) 382-1164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Teresa Rae located?

Teresa Rae practices at 221 E Washington Ave, Dayton, WA 99328. The listed phone number is (509) 382-1164.

What is Teresa Rae's specialty?

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

Is Teresa Rae enrolled in Medicare?

Yes. Teresa Rae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Teresa Rae's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Rae reassigns Medicare benefits to Blue Mountain Counseling Of Columbia County (Dayton, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Rae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Rae accept?

Health plans from Ambetter Health list Teresa Rae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.