Individual provider Active NPI

Rachel Ann Decker, APRN

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1306835087
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9103047-4405 Issued in UT
Practice address
4045 W Royal Dr
Traverse City, MI 49684-8965
Phone
(231) 935-0900
Fax
(833) 471-4026
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 9103047-4405 UT Primary

Addresses

Primary practice location

4045 W Royal Dr
Traverse City, MI 49684-8965

Mailing address

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0900

Other practice location 1

8872 Professional Dr
Cadillac, MI 49601-8481
Phone (231) 779-0320

Other practice location 2

401 Munson Ave
Traverse City, MI 49686-3041
Phone (231) 935-0900

Other practice location 3

3537 W Front St Ste E
Traverse City, MI 49684-7943
Phone (231) 935-5880

Other names 1

  • Rachel Ann Nedwick Former name

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
I20061215000470 MI Practitioner - Nurse Practitioner 6002815263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians
Great Lakes Orthopaedic Center PCGroup PAC ID 1759371826, 36 clinicians

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

3537 W Front St
Suite E
Traverse City, MI 49684-7943
Phone (231) 935-5880

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Orthopaedic Center, P.C. CurrentSince Jan 8, 2024 Accepting new patients
Munson Healthcare Cadillac Family Past Accepting new patients

Locations

4045 W Royal Dr
Traverse City, MI 49684
Phone (231) 935-0900

401 Munson Ave
Traverse City, MI 49686
Phone (231) 933-3283

Interoperability endpoints

  • Direct secure messaging: rachel.decker-male.1@27291.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1306835087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0900",
            "fax_number": "231-935-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0900",
            "fax_number": "833-471-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8872 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018481",
            "country_code": "US",
            "telephone_number": "231-779-0320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863041",
            "country_code": "US",
            "telephone_number": "231-935-0900",
            "fax_number": "833-471-4024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 W Front St Ste E",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847943",
            "country_code": "US",
            "telephone_number": "231-935-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9103047-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "NEDWICK",
            "middle_name": "ANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.