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RAEGAN DEWILDE
NPI 1780226084
Physician Assistant - Medical in Fairview, OK

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment
523 E STATE RD, FAIRVIEW, OK 73737(580) 227-2585 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, Oct 8, 2019 (2 updates tracked since 2019).

About Raegan Dewilde NPPES

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

RAEGAN DEWILDE (NPI 1780226084) is an individual medical provider in Fairview, Oklahoma and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Fairview Regional Medical Center Authority, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780226084
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRAEGAN DEWILDE
Location Address523 E STATE RDFairview, OK 73737-1453
Mailing Address716 S Hickory StSapulpa, OK 74066-5130
Phone(580) 227-2585
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 8, 2019
Last NPPES UpdateJune 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1780226084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
523 E STATE RD, Fairview, OK 73737
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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, UnitedHealthcare.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

Raegan Dewilde 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 ID4486032984
PECOS Enrollment IDI20220610001724
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

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

Fairview Regional Medical Center Authority

Critical Access Hospitals · Fairview, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371329
Location523 East State RoadFairview, OK 73737 · Major County
Emergency services

Other Providers at the Same Location NPPES 6

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

FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY
General Acute Care Hospital (Critical Access)
523 E STATE RD
FAIRVIEW, OK 73737
Major County (580) 227-3721
FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY
General Acute Care Hospital (Critical Access)
523 E STATE RD
FAIRVIEW, OK 73737
Major County (580) 227-3721
MARY BROMLOW OT
Occupational Therapist
523 E STATE RD
FAIRVIEW, OK 73737
Major County (580) 227-1370
ELIZABETH ANN KIMBALL APN FNP-BC
Nurse Practitioner (Family)
523 E STATE RD
FAIRVIEW, OK 73737
Major County (580) 227-3721
HANNAH COOK PT, DPT
Physical Therapist
523 E STATE RD
FAIRVIEW, OK 73737
Major County (580) 227-0973
LARRY SHANE ELLIOTT
Family Medicine
523 E STATE RD
FAIRVIEW, OK 73737
Major County (580) 227-3721

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 Raegan Dewilde's NPI number?

The NPI number for Raegan Dewilde is 1780226084. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Raegan Dewilde located?

Raegan Dewilde practices at 523 E State Rd, Fairview, OK 73737. The listed phone number is (580) 227-2585.

What is Raegan Dewilde's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Raegan Dewilde enrolled in Medicare?

Yes. Raegan Dewilde 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.

What insurance does Raegan Dewilde accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Raegan Dewilde 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 Raegan Dewilde affiliated with any hospitals?

According to CMS data, Raegan Dewilde is affiliated with Fairview Regional Medical Center Authority.

When was this NPI record last updated?

The NPPES record for Raegan Dewilde was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.