Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205309226 Individual Practitioner Male Practitioner

Derek Dale Raese

Licensed Practical Nurse • New Berlin, WI

Professional Overview & Biography Verified Profile Summary

Derek Raese is a registered healthcare professional specializing in Licensed Practical Nurse in New Berlin, WI. Practice services are available at 16320 W MARIETTA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16320 W Marietta Dr

New Berlin, WI 531516594

Telephone 4146401112

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in New Berlin, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in New Berlin, WI (1775 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WI 321484

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Loriann Melby , RN

Registered Nurse

NPI 1760808331

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2019

Registered at 16320 W MARIETTA DR, NEW BERLIN, WI 531516594 (Tel: 4146401112)

📍
Updated Business Mailing Address January 03, 2019

Registered at 568 N PALM ST, JANESVILLE, WI 535482845 (Tel: 6087183260)

👤
Provider Name / Credentials Updated January 03, 2019

Recorded as DEREK RAESE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2019

Licensed Practical Nurse (License #321484 in WI)

🟢
Initial NPI Registration & Enumeration January 03, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205309226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2019
Last Update: January 03, 2019
Sole Proprietor: Yes

Mailing Address

568 N Palm St

Janesville, WI 535482845

Phone: 6087183260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.