CARRIE RADEBAUGH LMSW U/S
NPI 1366992265
Case Manager/Care Coordinator in Muskogee, OK

Q: What is Carrie Radebaugh's NPI number?

The NPI number for Carrie Radebaugh is 1366992265. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Q: What is Carrie Radebaugh'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 Carrie Radebaugh was last updated on June 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 04, 2016PECOS Enrolled

619 N MAIN ST, MUSKOGEE, OK 74401(918) 682-8407 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carrie Radebaugh Lmsw U/s NPPES

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

CARRIE RADEBAUGH LMSW U/S (NPI 1366992265) is an individual case manager/care coordinator provider in Muskogee, Oklahoma and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366992265

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameCARRIE RADEBAUGHCredential: LMSW U/S

Location Address619 N MAIN STMuskogee, OK 74401-4431

Mailing Address619 N Main StMuskogee, OK 74401-4431

Phone(918) 682-8407

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 4, 2016

Last NPPES UpdateJune 17, 2022

NPPES CertifiedJune 17, 2022

✔ NPI 1366992265 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.

619 N MAIN ST, Muskogee, OK 74401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie Radebaugh Lmsw U/s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456856509

PECOS Enrollment IDI20251006000160

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.

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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.

JEFFERY COE

Peer Specialist