Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlyn Marie Rauwerdink, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1417455817

Kaitlyn Marie Rauwerdink, PHYSICIANASSISTANT is a Physician Assistant in Little Rock, Arkansas. Qualified in 2017, 9 years ago. Practices with Oak Medical SC, a 123-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
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Practice location Address checks out

2 Saint Vincent Cir Fl 6
Little Rock, AR 72205-5423
Phone: (501) 265-0619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2 Saint Vincent Cir, Little Rock, AR 72205-5423 — (501) 552-3000
  • 2201 Wildwood Ave, Sherwood, AR 72120-5074 — (501) 834-1800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1417455817
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 31, 2018
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Oak Medical Sc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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