DR. RACHEL ANNE PRUDHOMME DNP, PMHNP-BC
NPI 1487045753
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI

Active since February 09, 2015PECOS Enrolled
2730 5 MILE RD NE, GRAND RAPIDS, MI 49525(616) 426-9401 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2022, Nov 11, 2021 (2 updates tracked since 2021).

About Dr. Rachel Anne Prudhomme Dnp, Pmhnp-bc NPPES

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

DR. RACHEL ANNE PRUDHOMME DNP, PMHNP-BC (NPI 1487045753) is an individual psychiatric/mental health provider in Grand Rapids, Michigan, licensed in Michigan (4704309686) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487045753
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. RACHEL ANNE PRUDHOMMECredential: DNP, PMHNP-BC
Location Address2730 5 MILE RD NEGrand Rapids, MI 49525-6518
Mailing Address22234 220th AveParis, MI 49338-9455 · (231) 742-0117
Sole ProprietorYes
Enumeration DateFebruary 9, 2015
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
NPI 1487045753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 4704309686
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704309686 (MI)
2730 5 MILE RD NE, Grand Rapids, MI 49525

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Rachel Anne Prudhomme Dnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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 5

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

Dentist (General Practice)
2730 5 MILE RD NE, SUITE 102
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
2730 5 MILE RD NE
GRAND RAPIDS, MI 49525
Dentist (General Practice)
2730 5 MILE RD NE, SUITE #101
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
2730 5 MILE RD NE
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
2730 5 MILE RD NE
GRAND RAPIDS, MI 49525

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 Rachel Prudhomme's NPI number?

The NPI number for Rachel Prudhomme is 1487045753. It was assigned to this individual provider in the NPPES registry on February 9, 2015.

Where is Rachel Prudhomme located?

Rachel Prudhomme practices at 2730 5 Mile Rd NE, Grand Rapids, MI 49525. The listed phone number is (616) 426-9401.

What is Rachel Prudhomme's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rachel Prudhomme enrolled in Medicare?

Yes. Rachel Prudhomme is registered in the Medicare PECOS enrollment system.

What insurance does Rachel Prudhomme accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Rachel Prudhomme 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 Rachel Prudhomme was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.