Active NPI
Rae Henke, RN06 11 1964
- Registered Nurse
- Medford, WI
National Provider Identifier
1881654747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Practice address
- W 6604 Hwy 64
Medford, WI 54451 - Phone
- (715) 748-0914
- NPI assigned
- Mar 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | WI | Primary | |
| Case Management Registered Nurse | 163WC0400X | WI |
Addresses
Primary practice location
W 6604 Hwy 64
Medford, WI 54451
Mailing address
1702 5TH St E
Ashland, WI 54806-2215
Phone (715) 209-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130418030 | WI | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1881654747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 5TH ST E",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548062215",
"telephone_number": "715-209-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W 6604 HWY 64",
"city": "MEDFORD",
"state": "WI",
"postal_code": "54451",
"telephone_number": "715-748-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKE",
"first_name": "RAE",
"credential": "RN06 11 1964",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": null,
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "WI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.