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JOHANNA ROSE RASCH MSN, PMHNP-BC
NPI 1386570174
Nurse Practitioner in Grand Rapids, MI

Active since June 20, 2026PECOS Enrolled
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000(616) 455-5960 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Johanna Rose Rasch Msn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA ROSE RASCH MSN, PMHNP-BC (NPI 1386570174) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704376221) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1386570174
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJOHANNA ROSE RASCHCredential: MSN, PMHNP-BC
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address2479 Melby StCasnovia, MI 49318-9504
Phone(616) 455-5000
Fax(616) 455-5960
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 20, 2026
Last NPPES UpdateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1386570174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704376221
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 4704376221 (MI)
300 68TH ST SE, Grand Rapids, MI 49548
Open in Google Maps ↗

Secondary Practice Location 1

Location 1260 Jefferson Ave SE Ste 100Grand Rapids, MI 49503-6300 · Phone (616) 336-3909

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johanna Rose Rasch Msn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870052434
PECOS Enrollment IDI20260825002448
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Johanna Rasch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Rest Christian Mental Health Services
0.2 mi
Nurse Practitioner
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 41 clinicians in this Medicare group
NPI 1467463604 (616) 455-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN LEIGH MURRAY L.C.S.W
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
CANDY MCKENNEY
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
TAO CHANCE BROWN-EDWARDS
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. REBECCA JOY BACK LMSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (269) 929-7342
SARA RENE QUASHNIE LLMSW
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
KIMERA RAIN HARRIS
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500
AMY LOUISE MCGAREY MSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
JUNE BUIKEMA-TEBEAU
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johanna Rasch's NPI number?

The NPI number for Johanna Rasch is 1386570174. It was assigned to this individual provider in the NPPES registry on June 20, 2026.

Where is Johanna Rasch located?

Johanna Rasch practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.

What is Johanna Rasch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Johanna Rasch enrolled in Medicare?

Yes. Johanna Rasch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johanna Rasch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Rasch reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johanna Rasch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johanna Rasch accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Johanna Rasch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johanna Rasch was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.