Individual provider Active NPI

Nichcole Rau, NP

  • Family Nurse Practitioner
  • Lexington, TN
National Provider Identifier
1891330817
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26734 Issued in TN
Practice address
510 Tyler Rd
Lexington, TN 38351-7159
Phone
(731) 614-5405
NPI assigned
Nov 13, 2019
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26734 TN Primary

Addresses

Primary practice location

510 Tyler Rd
Lexington, TN 38351-7159

Mailing address

510 Tyler Rd
Lexington, TN 38351-7159
Phone (731) 614-5405

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathy@pccofjackson.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230211000006 TX Practitioner - Nurse Practitioner 7911329198 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Health PLLC CurrentSince Jul 1, 2023 Accepting new patients
Lifemd Southern Patient Medical Care PC Past Accepting new patients
Primary Care Clinic of Jackson PastSince Nov 26, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nichcole.rau@337577483108356.direct.elationemr.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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1891330817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 TYLER RD",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383517159",
            "telephone_number": "731-614-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 TYLER RD",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383517159",
            "telephone_number": "731-614-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "NICHCOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathy@pccofjackson.com",
            "affiliation": "N",
            "address_1": "54 Exeter Rd Ste B",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383051985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.