Individual provider Active NPI

Rachel Elizabeth Teifke, NP-C

  • Nurse Practitioner
  • Marquette, MI
National Provider Identifier
1689265845
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704321819 Issued in MI
Practice address
2382 US-41
Marquette, MI 49855
Phone
(906) 226-2233
Fax
(906) 226-2409
NPI assigned
Jan 31, 2021
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704321819 MI Primary

Addresses

Primary practice location

2382 US-41
Marquette, MI 49855

Mailing address

2382 US-41
Marquette, MI 49855
Phone (906) 226-2233

Other names 1

  • Rachel Elizabeth Busch Former 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
I20210318000619 MI Practitioner - Nurse Practitioner 6305253311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Walk-in Center PCGroup PAC ID 6204837057, 7 clinicians

Practice addresses (Care Compare)

2382 US Hwy 41 W
Marquette, MI 49855-2456
Phone (906) 226-2233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704321819MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Walk-in Center, PC Current Accepting new patients
Superior Walk-in Center, PC CurrentSince Mar 17, 2021 Accepting new patients
Superior Walk-in Center, PC Past Accepting new patients

Locations

2382 US Highway 41 W
Marquette, MI 49855
Phone (906) 226-2233

1504 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4220

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.

Hospital & facility affiliations 1

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": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1689265845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 US-41",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-226-2233",
            "fax_number": "906-226-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 US-41",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-226-2233",
            "fax_number": "906-226-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIFKE",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704321819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BUSCH",
            "middle_name": "ELIZABETH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.