Individual provider Active NPI

Herbert C Raasch, DNP, APNP, PMHNP-BC

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1659836609
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8882-33 Issued in WI
Practice address
4915 S Howell Ave Ste 503
Milwaukee, WI 53207-5939
Phone
(262) 282-3253
Fax
(414) 212-8988
NPI assigned
Feb 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8882-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8882-33 WI
Family Nurse Practitioner 363LF0000X 8882-33 WI Primary

Addresses

Primary practice location

4915 S Howell Ave Ste 503
Milwaukee, WI 53207-5939

Mailing address

4915 S Howell Ave Ste 503
Milwaukee, WI 53207-5939
Phone (262) 282-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20190304001977 WI Practitioner - Nurse Practitioner 2062751332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4915 S Howell Ave
Suite 503
Milwaukee, WI 53207-5939
Phone (262) 282-3253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8882-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Healing and Wellness LLC Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients

Locations

5007 S Howell Ave
Ste 350
Milwaukee, WI 53207
Phone (309) 826-7273

4915 S Howell Ave
Ste 503
Milwaukee, WI 53207
Phone (262) 282-3253

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.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1659836609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 S HOWELL AVE STE 503",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075939",
            "telephone_number": "262-282-3253",
            "fax_number": "414-212-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 S HOWELL AVE STE 503",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075939",
            "telephone_number": "262-282-3253",
            "fax_number": "414-212-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAASCH",
        "first_name": "HERBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DNP, APNP,  PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8882-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "8882-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8882-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.