TENNILLE RAU (NP) – Primary Care Nurse Practitioner, NPI 1114384138

TENNILLE RAU (NP) is a healthcare provider. based in Springfield, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APN.0992173 (CO). The NPI Number for TENNILLE RAU (NP) is 1114384138

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
TENNILLE RAU (NP)
NPI
1114384138
Phone
(719) 691-4488
Address
172 W 1ST AVE
Enumeration Date
21 January 2016
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196914488
Graduation Year
2015 (11 years ago)
PAC ID
7810294980
Group Practice PAC ID
5698122455
Professional Enrollment ID
I20160405001202
Address ID
CO810731011SP172XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for TENNILLE RAU (NP)

  • 172 W 1ST AVE

    SPRINGFIELD, CO 810731011

    Phone: (719) 691-4488

    Fax: (833) 450-2207

    Type: Location

  • Kendall Drive, Lamar, Prowers County, Colorado, 81052, United States

    LAMAR, CO 810523939

    Phone: (719) 336-0261

    Fax: (719) 336-0265

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160405001202INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography2222$0
77063Screening 3d breast mammography1919$0
81002Urinalysis, manual test1514$0
View full utilization report →

Insurance plans in this area (ZIP 81073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698122455View full group profile
NameSpecialtyState
Nurse PractitionerCO

Reviews

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Frequently asked questions

Is TENNILLE RAU (NP) listed with a National Provider Identifier?
Yes — TENNILLE RAU (NP) has NPI 1114384138 on file in the registry.
Is there an active status for TENNILLE RAU (NP)?
For scheduling context, TENNILLE RAU (NP) is shown as active in the registry.
How would a patient describe TENNILLE RAU (NP)'s focus?
For TENNILLE RAU (NP), the primary taxonomy reads as Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with TENNILLE RAU (NP)?
Directory geography for TENNILLE RAU (NP) centers on Springfield, Colorado.
Can I trust this NPI listing for TENNILLE RAU (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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