Michael R Rajkowski, RN – Registered Nurse

Key facts

NPI: 1104154392
Entity type: Individual (NPI type 1)
Primary specialty: Registered Nurse 163W00000X
License: 138972-030 (WI)
Practice address: 7948 County Road a
Almond, WI 54909-9556
Phone: (715) 366-8277
NPI assigned: Nov 25, 2009
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Down Home Nursing, LLC Home Health Registered Nurse · Almond, WI · NPI 1790842391

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Nurse

State licenses

License	State	Type	Specialty
138972-030	WI	MD	Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Down Home Nursing, LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse	163W00000X	138972-030	WI	Yes

Addresses

Primary practice location

7948 County Road a
Almond, WI 54909-9556

Mailing address

7948 County Road a
Almond, WI 54909-9556
Phone (715) 366-8277

Other identifiers

Identifier	Type	State	Issuer
38353700	Medicaid	WI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 25, 2009.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1104154392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7948 COUNTY ROAD A",
            "city": "ALMOND",
            "state": "WI",
            "postal_code": "549099556",
            "telephone_number": "715-366-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7948 COUNTY ROAD A",
            "city": "ALMOND",
            "state": "WI",
            "postal_code": "549099556",
            "telephone_number": "715-366-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJKOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "138972-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38353700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Almond, WI

All providers in Almond, WI · Registered Nurse in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.