Individual provider Active NPI

Rae Marie Rader, FNP-BC

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1649538562
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28132818A Issued in IN
Practice address
1301 S 8TH St
Richmond, IN 47374-6901
Phone
(765) 742-2233
Fax
(877) 370-4270
NPI assigned
Apr 28, 2012
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 14515NP OH
Family Nurse Practitioner 363LF0000X 28132818A IN Primary

Addresses

Primary practice location

1301 S 8TH St
Richmond, IN 47374-6901

Mailing address

1301 S 8TH St
Richmond, IN 47374-6901
Phone (765) 742-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 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
I20120514000364 IN Practitioner - Nurse Practitioner 5597928465 Reassigns benefits to 1 organization
I20140922001431 OH Practitioner - Nurse Practitioner 5597928465 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28132818AINMDFamily Nurse Practitioner
14515NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp Single Specialty CurrentSince Jul 18, 2022 Accepting new patients
Meridian Health Services Corp. CurrentSince Jul 18, 2022 Accepting new patients

Locations

240 N Tillotson Ave
Muncie, IN 47304

520 S 9th St
Richmond, IN 47374
Phone (765) 935-5390

520 S 9th St
Ste A
Richmond, IN 47374
Phone (765) 254-5347

Interoperability endpoints

  • Direct secure messaging: rae.rader.1@14940.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1649538562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S 8TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746901",
            "telephone_number": "765-742-2233",
            "fax_number": "877-370-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S 8TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746901",
            "telephone_number": "765-742-2233",
            "fax_number": "877-370-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "RAE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-28",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14515NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28132818A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.