Individual provider Active NPI

Rochelle Raymond, DNP, RN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bad Axe, MI
National Provider Identifier
1407404221
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704266109 Issued in MI
Practice address
1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365
Phone
(989) 269-9293
Fax
(989) 269-9754
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704266109 MI Primary

Addresses

Primary practice location

1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365

Mailing address

1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365
Phone (989) 269-9293

Other names 1

  • Dr. Rochelle K Raymond Professional 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
I20191015003646 MI Practitioner - Nurse Practitioner 9739410168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huron County Community Mental Health AuthorityGroup PAC ID 9739161373, 4 clinicians

Practice addresses (Care Compare)

1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365
Phone (989) 269-9293

Hospital & facility affiliations

  • Scheurer Hospital Hospital, Pigeon, MI, CCN 231310
  • McLaren Thumb Region Hospital, Bad Axe, MI, CCN 231340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704266109MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huron County Community Mental Health Authority CurrentSince Sep 3, 2019 Accepting new patients

Locations

1375 R Dale Wertz Dr
Bad Axe, MI 48413
Phone (989) 269-9293

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1407404221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 R DALE WERTZ DR",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131365",
            "telephone_number": "989-269-9293",
            "fax_number": "989-269-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 R DALE WERTZ DR",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131365",
            "telephone_number": "989-269-9293",
            "fax_number": "989-269-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "ROCHELLE",
        "credential": "DNP, RN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704266109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHELLE",
            "last_name": "RAYMOND",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "DNP, RN PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bad Axe, MI

Sources for this page

Verify at the official NPI Registry.