RAE KEASHLY MD
NPI 1497792352
Family Medicine in Park Rapids, MN

Q: What is Rae Keashly's NPI number?

The NPI number for Rae Keashly is 1497792352. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Rae Keashly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Rae Keashly was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment

705 PLEASANT AVE S, PARK RAPIDS, MN 56470(218) 732-2800(218) 732-2857 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rae Keashly Md NPPES

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

RAE KEASHLY MD (NPI 1497792352) is an individual family medicine provider in Park Rapids, Minnesota, licensed in Minnesota (38837) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1497792352

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameRAE KEASHLYCredential: MD

Location Address705 PLEASANT AVE SPark Rapids, MN 56470-1440

Mailing Address705 Pleasant Ave SPark Rapids, MN 56470-1440 · (218) 732-2800 · Fax (218) 732-2857

Phone(218) 732-2800

Fax(218) 732-2857

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateJune 1, 2006

Last NPPES UpdateAugust 22, 2011

✔ NPI 1497792352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 38837

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

705 PLEASANT AVE S, Park Rapids, MN 56470

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Other Identifiers 20

Other23Y88KEMN · Mnbs #

Other23Y87KEMN · Mnbs #

OtherMN100030MN · Lhs/bannerhealth #

Other904360MN · America's Ppo/araz #

Other140791MN · Ucare #

Other14173MN · Ndbs #

Medicare UPING36257MN

Medicare ID-Type Unspecified080083977MN · Rr Medicare #

Medicaid975817800MN

Other0106547MN · Medica #

Other0403067MN · Medica #

Other0106730MN · Medica #

OtherHP25788MN · Healthpartners #

OtherDA9041015676MN · Preferred One #

Other8050MN · Sioux Valley #

Other23Y89KEMN · Mnbs #

Medicare ID-Type Unspecified080004651MN · Mn Medicare #

Medicare ID-Type Unspecified080004650MN · Mn Medicare #

Medicare ID-Type Unspecified080004649MN · Mn Medicare #

Medicaid18686MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rae Keashly Md 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 ID2860573581

PECOS Enrollment IDI20080118000276

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.

Hospital Affiliations CMS Care Compare 2

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN

OwnershipVoluntary non-profit - Church

CMS Certification Number240101

Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County

Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350070

Location3000 32nd Ave SouthFargo, ND 58104 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56470 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

JONATHON R PETERSON PT

Physical Therapist