Theodora Nae, PA
NPI 1780929018 · Physician Assistant · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodora Nae, PA is a Physician Assistant provider in Grand Rapids, MI (NPI 1780929018).
Provider details
- NPI number
- 1780929018
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 5601006369 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-11-27
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Frequently asked questions
- What is Theodora Nae's NPI number?
- Theodora Nae's National Provider Identifier (NPI) is 1780929018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodora Nae's specialty?
- Theodora Nae is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theodora Nae located?
- Theodora Nae's practice location on file with NPPES is 4100 Lake Dr Se, Grand Rapids, MI 49546-8292.
- What is Theodora Nae's phone number?
- The practice phone number listed in the NPPES registry for Theodora Nae is (616) 267-7414.
- Does Theodora Nae accept Medicare?
- Theodora Nae is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodora Nae's NPI active?
- Yes — Theodora Nae's NPI (1780929018) is active in the NPPES registry as of the last update on 2025-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.