Individual provider Active NPI

Dean Robert Raein, FNP

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1366177248
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704296648 Issued in MI
Practice address
1719 S Garfield Ave
Traverse City, MI 49686-4337
Phone
(231) 935-0799
Fax
(231) 935-0962
NPI assigned
Jul 23, 2022
Last updated
Dec 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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 4704296648 MI Primary

Addresses

Primary practice location

1719 S Garfield Ave
Traverse City, MI 49686-4337

Mailing address

1719 S Garfield Ave
Traverse City, MI 49686-4337
Phone (231) 935-0799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240228000019 TX Practitioner - Nurse Practitioner 8628413838 Reassigns benefits to 1 organization
I20260210004328 MI Practitioner - Nurse Practitioner 8628413838

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1719 S Garfield Ave
Traverse City, MI 49686-4337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704296648MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Traverse Health Clinic and Coalition CurrentSince Jan 21, 2026 Accepting new patients
Stillhouse Emergency Physicians CurrentSince Jan 18, 2024 Accepting new patients
Traverse Health Clinic and Coalition CurrentSince Jan 21, 2026 Accepting new patients
Ctems Inc Past Accepting new patients
Mitchell Home Visits PLLC PastSince Jul 31, 2022 Accepting new patients
Traverse Health Clinic and Coalition Past Accepting new patients

Locations

1719 S Garfield Ave
Traverse City, MI 49686
Phone (231) 642-5938

3816 Clear Creek Rd
Killeen, TX 76549
Phone (254) 526-8446

3816 Clear Creek Rd
Ste C
Killeen, TX 76549
Phone (254) 526-5970

3816 Clear Creek Rd
Ste E
Killeen, TX 76549
Phone (254) 554-8773

Organizations & group practices 6

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": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1366177248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864337",
            "telephone_number": "231-935-0799",
            "fax_number": "231-935-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864337",
            "telephone_number": "231-935-0799",
            "fax_number": "231-935-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEIN",
        "first_name": "DEAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-23",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704296648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.