Trent J Rahe
Individual provider Active NPI Family Nurse Practitioner · Spencerville, OH
NPI 1093271900 · NPPES record last updated Feb 20, 2019
Key facts
- NPI
- 1093271900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.024242 (OH)
- Practice address
- 424 East 4TH Street
Spencerville, OH 45887 - Phone
- (419) 647-4188
- NPI assigned
- Feb 15, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Lima, LLC
Practice addresses (Care Compare)
770 W High St
Lima, OH 45801-3990
Phone (419) 996-5240
Hospital & facility affiliations
- Mercy Health St Ritas Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190514002223 | OH | Practitioner - Nurse Practitioner | 7113260191 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.024242 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima, LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1800 E 5th St
Ste 1
Delphos, OH 45833
Phone (419) 692-2662
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
770 W High St
Lima, OH 45801
Phone (419) 996-5240
3224 Jarvis Rd
Lima, OH 45807
Phone (419) 996-5757
424 E 4th St
Spencerville, OH 45887
Phone (419) 647-4188
Interoperability endpoints
- trahe106329@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024242 | OH | Yes |
Addresses
Primary practice location
424 East 4TH Street
Spencerville, OH 45887
Mailing address
424 E. 4TH Street
Spencerville, OH 45887
Other providers in Spencerville, OH
- Heidi Hollar
- Rachel Koester
- Joy Miller
- Susan Leigh Oehlhof
- Patricia L Parks
- Lori Marie Ringwald
- Ronald Alan Ringwald
- Connie S Rupert
- Spencerville Ambulance Service
- Spencerville Dental Associates
All providers in Spencerville, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.