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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KRISTEN ELIZABETH RACZAK PA-C
NPI 1740196955
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Active since August 19, 2026
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503(616) 486-6790 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kristen Elizabeth Raczak Pa-c NPPES

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

KRISTEN ELIZABETH RACZAK PA-C (NPI 1740196955) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1740196955
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISTEN ELIZABETH RACZAKCredential: PA-C
Location Address100 MICHIGAN ST NE # MC845Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(616) 486-6790
Sole ProprietorNo
Enumeration DateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1740196955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 MICHIGAN ST NE # MC845, Grand Rapids, MI 49503
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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.

CASSANDRA CUMMINGS DNP
Nurse Practitioner (Pediatrics)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
ALI KAY SHORT LMSW
Social Worker (Clinical)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
NICOLE HOLBROOK
Speech-Language Pathologist
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MRS. ASHLEY DAWN BRUURSEMA NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MIKAYLA ALTHOFF
Social Worker
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MRS. BOBBI JO KIEFF RN, BSN, CDCES
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
BREANNA MAE NOFFKE PA
Physician Assistant
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
PAIGE NICOLE PHIZACKLEA RD
Dietitian, Registered
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790

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 Kristen Raczak's NPI number?

The NPI number for Kristen Raczak is 1740196955. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Where is Kristen Raczak located?

Kristen Raczak practices at 100 Michigan St NE # Mc845, Grand Rapids, MI 49503. The listed phone number is (616) 486-6790.

What is Kristen Raczak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kristen Raczak was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.