Tennille Rau, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Springfield, CO
NPI 1114384138 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1114384138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- APN.0992173 (CO)
- Practice address
- 172 W 1St Ave
Springfield, CO 81073-1011 - Phone
- (719) 691-4488
- Fax
- (833) 450-2207
- NPI assigned
- Jan 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prairie Clinic LLC
Practice addresses (Care Compare)
172 W 1St Ave
Springfield, CO 81073-1011
Phone (719) 691-4488
Hospital & facility affiliations
- Prowers Medical Center
- Southeast Colorado Hospital District
- St. Catherine Hospital - Garden City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20160405001202 | CO | Practitioner - Nurse Practitioner | 7810294980 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0992173 | CO | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Clinic LLC | Current |
Accepting new patients |
Locations
172 W 1st Ave
Springfield, CO 81073
Phone (719) 691-4488
Interoperability endpoints
- tennille.rau.1@30211.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APN.0992173 | CO | Yes |
Addresses
Primary practice location
172 W 1St Ave
Springfield, CO 81073-1011
Mailing address
172 W 1St Ave
Springfield, CO 81073-1011
Phone (719) 691-4488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0992173 | Other | LICENSE | |
| 22730061 | Medicaid | CO |
Other providers in Springfield, CO
- Jacia Dawn Piper
- Poudre Valley Medical Group, LLC
- Prairie Clinic LLC
- R & R Family Pharmacy LLC
- Ann Alea Ratliff
- Aubtin Saedi
- Colten Smouse
- Southeast Colorado Hospital District
- Southeast Colorado Hospital District
- Southeast Colorado Hospital District
All providers in Springfield, CO · Primary Care Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2025. 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.