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DOUGLAS WILLIAM RAE MSN, APRN, FNP-C
NPI 1992670301
Nurse Practitioner - Family in Phoenix, AZ

Active since October 07, 2025PECOS EnrolledAccepts Medicare Assignment
1101 N CENTRAL AVE STE 200, PHOENIX, AZ 85004(602) 307-5330(602) 307-5021 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2026, Oct 7, 2025 (2 updates tracked since 2025).

About Douglas William Rae Msn, Aprn, Fnp-c NPPES

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

DOUGLAS WILLIAM RAE MSN, APRN, FNP-C (NPI 1992670301) is an individual family provider in Phoenix, Arizona, licensed in Arizona (269501) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992670301
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOUGLAS WILLIAM RAECredential: MSN, APRN, FNP-C
Location Address1101 N CENTRAL AVE STE 200Phoenix, AZ 85004-1844
Mailing Address1101 N Central Ave Ste 200Phoenix, AZ 85004-1844 · (602) 307-5330 · Fax (602) 307-5021
Phone(602) 307-5330
Fax(602) 307-5021
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 7, 2025
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1992670301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 269501
1101 N CENTRAL AVE STE 200, Phoenix, AZ 85004
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas William Rae Msn, Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335634351
PECOS Enrollment IDI20251217003250
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 85004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

MR. JOSUE BUSTOS LCSW
Social Worker (Clinical)
1101 N CENTRAL AVE STE 200
PHOENIX, AZ 85004
Maricopa County (602) 307-5330
MRS. RAVEN DENEICE BROWN FNP
Nurse Practitioner
1101 N CENTRAL AVE STE 200
PHOENIX, AZ 85004
Maricopa County (602) 307-5330
SOUTHWEST CENTER FOR HIV/AIDS, INC.
Public Health or Welfare
1101 N CENTRAL AVE STE 200
PHOENIX, AZ 85004
Maricopa County (602) 595-8109
TYRONE TOM
Counselor (Professional)
1101 N CENTRAL AVE STE 200
PHOENIX, AZ 85004
Maricopa County (602) 307-5330
MR. JOHN SANTACROSE LMSW
Social Worker
1101 N CENTRAL AVE STE 200
PHOENIX, AZ 85004
Maricopa County (602) 595-8161

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 Douglas Rae's NPI number?

The NPI number for Douglas Rae is 1992670301. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Douglas Rae located?

Douglas Rae practices at 1101 N Central Ave Ste 200, Phoenix, AZ 85004. The listed phone number is (602) 307-5330.

What is Douglas Rae's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Douglas Rae enrolled in Medicare?

Yes. Douglas Rae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Douglas Rae was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.