DAVID MICHAEL RACKLEY PMHNP-BC
NPI 1528668118
Nurse Practitioner - Psychiatric/Mental Health in Durant, OK

Q: What is David Rackley's NPI number?

The NPI number for David Rackley is 1528668118. It was assigned to this individual provider in the NPPES registry on October 31, 2020.

Q: What is David Rackley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for David Rackley was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 31, 2020PECOS EnrolledAccepts Medicare Assignment

2701 W UNIVERSITY BLVD, DURANT, OK 74701(580) 740-4053 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2021, Oct 31, 2020 (2 updates tracked since 2020).

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About David Michael Rackley Pmhnp-bc NPPES

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

DAVID MICHAEL RACKLEY PMHNP-BC (NPI 1528668118) is an individual psychiatric/mental health provider in Durant, Oklahoma, licensed in Oklahoma (R0112063) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Yukon, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528668118

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDAVID MICHAEL RACKLEYCredential: PMHNP-BC

Location Address2701 W UNIVERSITY BLVDDurant, OK 74701-2997

Mailing Address13130 Sw 13th StYukon, OK 73099-6368 · (405) 831-6692

Phone(580) 740-4053

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 31, 2020

Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration

NPPES CertifiedJuly 22, 2021

✔ NPI 1528668118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OK · R0112063

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License R0112063 (OK)

2701 W UNIVERSITY BLVD, Durant, OK 74701

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Secondary Practice Location 1

Location 113130 SW 13th StYukon, OK 73099-6368 · Phone (405) 831-6692

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

David Michael Rackley Pmhnp-bc 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 ID345638821

PECOS Enrollment IDI20211103000432

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

510 services118 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74701 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

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 18

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

JIMMIE D TRUITT

Case Manager/Care Coordinator