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MR. JOSEPH CHARLES RAWDON APRN-CNS
NPI 1295973725
Clinical Nurse Specialist - Critical Care Medicine in Shawnee, OK

Active since January 21, 2009PECOS EnrolledAccepts Medicare Assignment
2810 N KICKAPOO AVE, SHAWNEE, OK 74804(405) 585-0473(405) 585-0495 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2023, Jan 18, 2018 (2 updates tracked since 2018).

About Mr. Joseph Charles Rawdon Aprn-cns NPPES

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

MR. JOSEPH CHARLES RAWDON APRN-CNS (NPI 1295973725) is an individual critical care medicine provider in Shawnee, Oklahoma, licensed in Oklahoma (R0077067) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Shawnee, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1295973725
Entity TypeIndividualMale
Primary Taxonomy364SC0200X
Provider Legal NameMR. JOSEPH CHARLES RAWDONCredential: APRN-CNS
Location Address2810 N KICKAPOO AVEShawnee, OK 74804-1798
Mailing Address5 Del Rancho CtShawnee, OK 74804-3320 · (056) 136-2314
Phone(405) 585-0473
Fax(405) 585-0495
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 21, 2009
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1295973725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SC0200X
License✔ Licensed in OK · R0077067
2810 N KICKAPOO AVE, Shawnee, OK 74804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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

Mr. Joseph Charles Rawdon Aprn-cns 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 ID7113070319
PECOS Enrollment IDI20090805000791
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 Reassignments

3

Medicare enrollment records show Joseph Rawdon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

R & Q Enterprises LLC
Same address
Rheumatology
2810 N KICKAPOO AVE
Shawnee, OK 74804
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1598537656 (405) 585-0473
Heritage Health Services LLC
36 mi
Rheumatology
7336 N CLASSEN BLVD STE 100
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 15 clinicians in this Medicare group
NPI 1275286080 (405) 608-8060
The Physicians Group LLC
40 mi
General Practice
14024 QUAIL POINTE DR
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 146 clinicians in this Medicare group
NPI 1487620381 (405) 419-8447

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

Areas of Expertise CMS Part B claims 9

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.

Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
7,900 services17 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,320 services15 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
150 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services82 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
111 services75 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
109 services109 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Holdenville General Hospital

Critical Access Hospitals · Holdenville, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371321
Location100 Mcdougal DriveHoldenville, OK 74848 · Hughes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

R & Q ENTERPRISES LLC
Internal Medicine (Rheumatology)
2810 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 585-0473
ALEXANDRIA DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2810 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 273-1599

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 Joseph Rawdon's NPI number?

The NPI number for Joseph Rawdon is 1295973725. It was assigned to this individual provider in the NPPES registry on January 21, 2009.

Where is Joseph Rawdon located?

Joseph Rawdon practices at 2810 N Kickapoo Ave, Shawnee, OK 74804. The listed phone number is (405) 585-0473.

What is Joseph Rawdon's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Critical Care Medicine, with taxonomy code 364SC0200X.

Is Joseph Rawdon enrolled in Medicare?

Yes. Joseph Rawdon 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 organizations bill Medicare for Joseph Rawdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Rawdon reassigns Medicare benefits to 3 organizations: R & Q Enterprises LLC (Shawnee, OK), Heritage Health Services LLC (Oklahoma City, OK) and The Physicians Group LLC (Oklahoma City, OK). 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 Joseph Rawdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Rawdon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Joseph Rawdon 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.

Is Joseph Rawdon affiliated with any hospitals?

According to CMS data, Joseph Rawdon is affiliated with Ssm Health St Anthony Hospital - Shawnee and Holdenville General Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Rawdon was last updated on October 23, 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.