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DAELUN JACOB MCRAE PA-C
NPI 1215609144
Physician Assistant - Medical in Mesa, AZ

Active since September 29, 2021PECOS Enrolled

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2021, Sep 29, 2021 (2 updates tracked since 2021).

About Daelun Jacob Mcrae Pa-c NPPES

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

DAELUN JACOB MCRAE PA-C (NPI 1215609144) is an individual medical provider in Mesa, Arizona, licensed in Arizona (8817) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215609144
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDAELUN JACOB MCRAECredential: PA-C
Location Address5564 S KEENEMesa, AZ 85212-2130
Mailing Address888 S Greenfield RdGilbert, AZ 85296-4010 · (480) 892-1300
Phone(928) 651-2960
Sole ProprietorNo
Enumeration DateSeptember 29, 2021
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
✔ NPI 1215609144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 8817
Also ListedPhysician AssistantTaxonomy 363A00000X
5564 S KEENE, Mesa, AZ 85212
Open in Google Maps ↗

Other Names 1

Professional Name (2)Daelun Jacob Mcrae Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daelun Jacob Mcrae Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services12 patients

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 Daelun Mcrae's NPI number?

The NPI number for Daelun Mcrae is 1215609144. It was assigned to this individual provider in the NPPES registry on September 29, 2021. The provider is also known as Daelun Jacob Mcrae Pa-C.

Where is Daelun Mcrae located?

Daelun Mcrae practices at 5564 S Keene, Mesa, AZ 85212. The listed phone number is (928) 651-2960.

What is Daelun Mcrae's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Daelun Mcrae enrolled in Medicare?

Yes. Daelun Mcrae is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daelun Mcrae was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.