Individual provider Active NPI

Rachel Reaume, FNP-BC

  • Family Nurse Practitioner
  • Monroe, MI
National Provider Identifier
1144787615
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704274265 Issued in MI
Practice address
1066 N Monroe St
Monroe, MI 48162-3113
Phone
(734) 240-4870
Fax
(734) 682-5083
NPI assigned
Feb 20, 2019
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704274265 MI Primary

Addresses

Primary practice location

1066 N Monroe St
Monroe, MI 48162-3113

Mailing address

1066 N Monroe St
Monroe, MI 48162-3113
Phone (734) 240-4870

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rreaume169582@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190429001248 MI Practitioner - Nurse Practitioner 4880936541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Monroe PhysiciansGroup PAC ID 2365696176, 64 clinicians

Practice addresses (Care Compare)

730 N Macomb St
Monroe, MI 48162-2904
Phone (734) 240-5860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704274265MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Monroe Physicians CurrentSince Nov 1, 2019 Accepting new patients

Locations

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

1066 N Monroe St
Monroe, MI 48162
Phone (734) 240-4870

730 N Macomb St
Ste 329
Monroe, MI 48162
Phone (734) 240-5860

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

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 2

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1144787615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-240-4870",
            "fax_number": "734-682-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-240-4870",
            "fax_number": "734-682-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAUME",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704274265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rreaume169582@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.