Individual provider Active NPI

Tennille Rau, NP

  • Primary Care Nurse Practitioner
  • Springfield, CO
National Provider Identifier
1114384138
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN.0992173 Issued in CO
Practice address
172 W 1St Ave
Springfield, CO 81073-1011
Phone
(719) 691-4488
Fax
(833) 450-2207
NPI assigned
Jan 21, 2016
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN.0992173 CO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405001202 CO Practitioner - Nurse Practitioner 7810294980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 5698122455, 2 clinicians

Practice addresses (Care Compare)

172 W 1St Ave
Springfield, CO 81073-1011
Phone (719) 691-4488

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
992173COMDClinical Social Worker
APN.0992173COMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Clinic LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

172 W 1st Ave
Springfield, CO 81073
Phone (719) 691-4488

Interoperability endpoints

  • Direct secure messaging: tennille.rau.1@30211.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1114384138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 W 1ST AVE",
            "city": "SPRINGFIELD",
            "state": "CO",
            "postal_code": "810731011",
            "telephone_number": "719-691-4488",
            "fax_number": "833-450-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 W 1ST AVE",
            "city": "SPRINGFIELD",
            "state": "CO",
            "postal_code": "810731011",
            "telephone_number": "719-691-4488",
            "fax_number": "833-450-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "TENNILLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.0992173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, CO

Sources for this page

Verify at the official NPI Registry.