Individual provider Active NPI

Jill L Raymer, DNP FNP BC

  • Family Nurse Practitioner
  • Robbinsville, NC
National Provider Identifier
1053780767
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008020 Issued in NC
Practice address
409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone
(828) 479-6434
NPI assigned
Sep 23, 2015
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008020 NC
Family Nurse Practitioner 363LF0000X 5008020 NC Primary

Addresses

Primary practice location

409 Tallulah Rd
Robbinsville, NC 28771-8500

Mailing address

PO Box 602373
Charlotte, NC 28260-2373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160613002074 NC Practitioner - Nurse Practitioner 3577854066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone (828) 479-6434

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008020NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountain Community Health Centers PastSince Feb 5, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jill.raymer@amchc.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1053780767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287718500",
            "telephone_number": "828-479-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMER",
        "first_name": "JILL",
        "middle_name": "L",
        "credential": "DNP FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NC

Sources for this page

Verify at the official NPI Registry.