Individual provider · Type 1 NPI

Johanna Rose Rasch, MSN, PMHNP-BC

Nurse Practitioner · Grand Rapids, MI

NPI number 1386570174 Active

Practice location

300 68th St SE
Grand Rapids, MI 49548-6927

Call (616) 455-5000 Map

Fax (616) 455-5960

Mailing address

2479 Melby St
Casnovia, MI 49318-9504

Other practice locations

  • 260 Jefferson Ave SE Ste 100, Grand Rapids, MI 49503-6300 · (616) 336-3909

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X4704376221 (MI)
Nurse Practitioner Primary 363L00000X4704376221 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386570174

Johanna Rose Rasch, MSN, PMHNP-BC's National Provider Identifier is 1386570174, issued on Jun 20, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2026.