Organization Active NPI

Ra2 PC

  • Family Medicine Physician
  • Grayling, MI
National Provider Identifier
1063233492
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RA2 PC
Practice address
81 S I 75 Business Loop
Grayling, MI 49738-7405
Phone
(989) 348-7400
NPI assigned
Oct 18, 2024
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rachel Anne Amsterburg, DONPI 1629278957
Title
Emergency Medicine Physician
Phone
(912) 532-9907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

81 S I 75 Business Loop
Grayling, MI 49738-7405

Mailing address

1920 Sturgeon Valley Rd E
Vanderbilt, MI 49795-9751
Phone (912) 532-9907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250210000806 MI Part B Supplier - Clinic/Group Practice 0042740847 Receives reassigned benefits from 3 practitioners
Practice locations: Grayling, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1007330Ra2 PC81 S I-75 Business Loop, Grayling, MI 49738Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1063233492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 STURGEON VALLEY RD E",
            "city": "VANDERBILT",
            "state": "MI",
            "postal_code": "497959751",
            "telephone_number": "912-532-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 S I 75 BUSINESS LOOP",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497387405",
            "telephone_number": "989-348-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA2 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "AMSTERBURG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EMERGENCY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "912-532-9907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.