RACHAEL TOUMA PMHNP-BC
NPI 1598398133
Nurse Practitioner - Psychiatric/Mental Health in Claremore, OK
About Rachael Touma Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHAEL TOUMA PMHNP-BC (NPI 1598398133) is an individual psychiatric/mental health provider in Claremore, Oklahoma, licensed in Oklahoma (114669) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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
Rachael Touma 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.
Medicare Billing Reassignments
3Medicare enrollment records show Rachael Touma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Claremore, OK 74017
- Reassigned Medicare billing, Oklahoma enrollment
- 23 clinicians in this Medicare group
Moore, OK 73160
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Balance Womens Health LLC
- 99 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 249 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLAREMORE, OK 74017
CLAREMORE, OK 74017
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 Rachael Touma's NPI number?
The NPI number for Rachael Touma is 1598398133. It was assigned to this individual provider in the NPPES registry on February 21, 2020.
Where is Rachael Touma located?
Rachael Touma practices at 2990 N Sioux Ave, Claremore, OK 74017. The listed phone number is (918) 342-2622.
What is Rachael Touma's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Rachael Touma enrolled in Medicare?
Yes. Rachael Touma 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 Rachael Touma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Touma reassigns Medicare benefits to 3 organizations: Jeffrey K Mcilroy MD Inc (Claremore, OK), Balance Women's Health, LLC (Moore, OK) and Williams Medical Group Practice, LLC (Lawton, 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 Rachael Touma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachael Touma accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Rachael Touma 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.
When was this NPI record last updated?
The NPPES record for Rachael Touma was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Rachael Touma, PMHNP-BC · NPI 1598398133
Psychiatric/Mental Health physician in Claremore, Oklahoma. Individual provider, active in the CMS NPPES registry since February 21, 2020.
## Identity
- **NPI:** 1598398133 (Entity type: Individual)
- **Enumerated:** February 21, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 114669 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2990 N SIOUX AVE, Claremore, OK 74017-3700
- **Phone:** (918) 342-2622 · **Fax:** (918) 342-2641
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jeffrey K Mcilroy MD Inc (NPI 1053531830, Claremore, OK); Balance Women's Health, LLC (NPI 1790186385, Moore, OK); Williams Medical Group Practice, LLC (NPI 1346608809, Lawton, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 21, 2020
- **Other identifiers:** Other 114669 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1598398133) · Data from the CMS NPPES public registry.