Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Rau

Individual provider Registered Nurse · NPI 1376085191

Douglas Rau is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2016, 10 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1900 Wealthy St SE Ste 300
Grand Rapids, MI 49506-2969
Phone: (616) 774-8345
Fax: (616) 774-8350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704266089 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704266089 (MI)

Record details

NPI number1376085191
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2016
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023
Mailing address100 Michigan St Ne, Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Grand Rapids