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

Dustin Thomas Rae, ARNP

Individual provider Adult Health Nurse Practitioner · NPI 1376367912

Dustin Thomas Rae, ARNP is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2024, 2 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024
Specialties on file
4
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

104 Innovation Dr
Greenville, SC 29607-5253
Phone: (864) 603-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP61647966 (WA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP61647966 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61647966 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN61067569 (WA)

Record details

NPI number1376367912
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedNovember 11, 2024
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greenville