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

Rachel Distelrath, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1184440158

Rachel Distelrath, FNP-BC is a Nurse Practitioner in Port Huron, Michigan. Qualified in 2024, 2 years ago. Practices with Blue Water Internal Medicine PC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1210 10th Ave
Port Huron, MI 48060-3406
Phone: (810) 662-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704292139 (MI)

Record details

NPI number1184440158
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 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 Blue Water Internal Medicine Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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