NANCY L JOHNSON-RAUEN (PT, DPT) – Physical Therapist, NPI 1396722674
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NANCY L JOHNSON-RAUEN (PT, DPT)
9242 HUDSON BLVD N STE 400
LAKE ELMO, MN 55042
Phone: (952) 835-4512
Fax: (952) 516-5655
Type: Location
1629 BROADWAY AVE N
ROCHESTER, MN 559064103
Phone: (952) 835-4512
Fax: (888) 425-0398
Type: Location
9242 Hudson Blvd N Ste 400
Lake Elmo, MN 55042
Phone: (952) 835-4512
Fax: (888) 425-0398
Type: Location
3265 19TH ST NW
STE 210
ROCHESTER, MN 559016786
Phone: (507) 358-3289
Type: Location
200 1st St SW
Rochester, MN 559050001
Phone: (507) 284-2511
Type: Location
3rd Street North, Oakdale, Washington County, Minnesota, 55125, United States
SUITE 105
OAKDALE, MN 551285444
Phone: (952) 835-4512
Fax: (888) 425-0398
Type: Mailing
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: 2010-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100615000945 | I | Physical Therapist In Private Practice | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55042)
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Group practice members
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