Kaitlyn Marie Rauwerdink, PHYSICIAN ASSISTANT
NPI 1417455817ActiveIndividual· Physician Assistant· Little Rock, AR
Physician Assistant (PHYSICIAN ASSISTANT) with Oak Medical SC, practicing in Little Rock, Arkansas. Their prescriptions cost Medicare Part D more than their services did: $40,893 for 902 claims, against $14,835 paid for services in 2024. Lists Holy Family Memorial as a hospital affiliation.
Overview
| NPI | 1417455817 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Jan 31, 2018 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AR); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 141 |
|---|---|
| Services billed | 275 across 11 procedure codes |
| Paid by Medicare | $14,835 |
Part D prescriptions in 2024
| Prescriptions (claims) | 902 · 914 30-day fills |
|---|---|
| Patients | 158 |
| Total drug cost | $40,893 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Oak Medical SCLodi, WI · 123 clinicians
Hospital affiliation
- Holy Family MemorialManitowoc, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 200 physician assistants in Little Rock · All physician assistants in Arkansas