Organization Active NPI

Rapha Wellness LLC

  • Acute Care Nurse Practitioner
  • Rimrock, AZ
National Provider Identifier
1477354397
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
RAPHA WELLNESS LLC
Practice address
5765 N Towers Dr
Rimrock, AZ 86335-6219
Phone
(315) 717-7898
NPI assigned
Mar 24, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Chascity MonroeNPI 1245743418
Title
Owner
Phone
(928) 284-2658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X Primary

Addresses

Primary practice location

5765 N Towers Dr
Rimrock, AZ 86335-6219

Mailing address

PO Box 11
Rimrock, AZ 86335-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414002377 AZ Part B Supplier - Clinic/Group Practice 8325562192 Receives reassigned benefits from 1 practitioner
Practice locations: Rimrock, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1477354397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863350011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 N TOWERS DR",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863356219",
            "telephone_number": "315-717-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "CHASCITY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-284-2658"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rimrock, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.