IndividualActive
Derek Raese
NPI 1205309226 · Licensed Practical Nurse · New Berlin, WI
Derek Raese is a Licensed Practical Nurse provider in New Berlin, WI (NPI 1205309226).
Provider details
- NPI number
- 1205309226
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 321484 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16320 W Marietta Dr
New Berlin, WI 53151-6594
Phone: (414) 640-1112
Street-level locationGet directions
Mailing address
568 N Palm St
Janesville, WI 53548-2845
Registry dates
- Enumerated
- 2019-01-03
- Last updated
- 2019-01-03
Frequently asked questions
- What is Derek Raese's NPI number?
- Derek Raese's National Provider Identifier (NPI) is 1205309226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Raese's specialty?
- Derek Raese is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Derek Raese located?
- Derek Raese's practice location on file with NPPES is 16320 W Marietta Dr, New Berlin, WI 53151-6594.
- What is Derek Raese's phone number?
- The practice phone number listed in the NPPES registry for Derek Raese is (414) 640-1112.
- Is Derek Raese's NPI active?
- Yes — Derek Raese's NPI (1205309226) is active in the NPPES registry as of the last update on 2019-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.