Active NPI
Dean Robert Raein, FNP
- Family Nurse Practitioner
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704296648
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704296648 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traverse Health Clinic and Coalition | Current | Accepting new patients | |
| Stillhouse Emergency Physicians | Current | Accepting new patients | |
| Traverse Health Clinic and Coalition | Current | Accepting new patients | |
| Ctems Inc | Past | Accepting new patients | |
| Mitchell Home Visits PLLC | Past | 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.
-
- Family Medicine Physician
- Killeen, TX
- NPI 1619060712
-
dba Traverse Health Clinic
- Federally Qualified Health Center (FQHC)
- Traverse City, MI
- NPI 1407309685
-
dba Mobile Medical Van
- Federally Qualified Health Center (FQHC)
- Traverse City, MI
- NPI 1831866821
-
dba Traverse Health Clinic
- Federally Qualified Health Center (FQHC)
- Traverse City, MI
- NPI 1467632059
-
- Family Medicine Physician
- Killeen, TX
- NPI 1205108032
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1225392061
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
dba AdventHealth Central Texas
- General Acute Care Hospital
- Killeen, TX
- NPI 1629089966
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.