Raelynn Christine Thielen, PA-C
Physician Assistant in Oakland Park, FL. Individual provider (NPI-1).
NPI number1154092872
StatusActive
Last updated in NPPESMar 6, 2026
Details
- NPI
- 1154092872
- Entity type
- Individual (NPI-1)
- Name
- Raelynn Christine Thielen
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2021
- Certification date
- Mar 6, 2026
- Last updated
- Mar 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
5597 N Dixie HwyOakland Park, FL 33334-3406
Phone 954-958-4800
Mailing address
5597 N Dixie HwyOakland Park, FL 33334-3406
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