Active NPI
Rachel Rinaldi
- Nurse Practitioner
- Port Huron, MI
National Provider Identifier
1871016055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704264033
- Practice address
- 1221 Pine Grove Ave
Port Huron, MI 48060-3511 - Phone
- (810) 987-5000
- NPI assigned
- Jul 19, 2017
- Last updated
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704264033 | MI | Primary |
Addresses
Primary practice location
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Mailing address
46641 Villaggio Dr
Shelby Township, MI 48315-4099
Phone (586) 703-5630
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Port Huron | Current | Accepting new patients | |
| McLaren Port Huron | Current | Accepting new patients |
Locations
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450
Organizations & group practices 2
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.
-
dba Port Huron Hospital Physician GRP
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- Port Huron, MI
- NPI 1386888170
-
- Family Medicine Physician
- Port Huron, MI
- NPI 1619355930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1871016055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46641 VILLAGGIO DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154099",
"telephone_number": "586-703-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603511",
"telephone_number": "810-987-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINALDI",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704264033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.