DR. AUDREY MAE N RAWSON D.D.S.
NPI 1215290390
Dentist - Pediatric Dentistry in Albuquerque, NM
About Dr. Audrey Mae N Rawson D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AUDREY MAE N RAWSON D.D.S. (NPI 1215290390) is an individual pediatric dentistry provider in Albuquerque, New Mexico, licensed in New Mexico (DD5246) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Audrey Mae N Rawson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Audrey Mae Rawson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kailua-kona, HI 96740
- Reassigned Medicare billing, Hawaii enrollment
- 61 clinicians in this Medicare group
Waipahu, HI 96797
- Reassigned Medicare billing, Hawaii enrollment
- Medicare enrollment name: Waianae District Comprehensive Health And Hospital Board Incorporated
- 240 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
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 Audrey Mae Rawson's NPI number?
The NPI number for Audrey Mae Rawson is 1215290390. It was assigned to this individual provider in the NPPES registry on June 22, 2012.
Where is Audrey Mae Rawson located?
Audrey Mae Rawson practices at 4620 Jefferson Ln NE Ste C, Albuquerque, NM 87109. The listed phone number is (505) 888-3520.
What is Audrey Mae Rawson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Audrey Mae Rawson enrolled in Medicare?
Yes. Audrey Mae Rawson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Audrey Mae Rawson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Mae Rawson reassigns Medicare benefits to 2 organizations: West Hawaii Community Health Center, Inc. (Kailua-kona, HI) and Waianae District Comprehensive Health And Hospital Board, Inc (Waipahu, HI). Each 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 Audrey Mae Rawson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Audrey Mae Rawson accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 16 other insurers list Audrey Mae Rawson 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 Audrey Mae Rawson was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Audrey Mae N Rawson, D.D.S. · NPI 1215290390
Pediatric Dentistry provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since June 22, 2012.
## Identity
- **NPI:** 1215290390 (Entity type: Individual)
- **Enumerated:** June 22, 2012
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** DD5246 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4620 JEFFERSON LN NE STE C, Albuquerque, NM 87109-2149
- **Phone:** (505) 888-3520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): West Hawaii Community Health Center, Inc. (NPI 1952335630, Kailua-kona, HI); Waianae District Comprehensive Health And Hospital Board, Inc (NPI 1447727318, Waipahu, HI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215290390) · Data from the CMS NPPES public registry.