Active NPI
Sidney Ann Raetz, FNP-C
- Family Nurse Practitioner
- Tell City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71009181A
- Practice address
- 109 US Highway 66 E
Tell City, IN 47586-2799 - Phone
- (812) 547-3447
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28196877A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71009181A | IN | Primary |
Addresses
Primary practice location
109 US Highway 66 E
Tell City, IN 47586-2799
Mailing address
8885 State Road 237
Tell City, IN 47586-8567
Phone (812) 547-7011
Other practice location 1
18485 Sr 37
Leopold, IN 47551-8072
Phone (812) 843-3038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200117001025 | IN | Practitioner - Nurse Practitioner | 1658706718 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 S 2ND St
Spencer County Clinic
Rockport, IN 47635-1318
Phone (812) 649-2271
18485 State Rd
Suite 37
Leopold, IN 47551-8072
Phone (812) 547-3447
Hospital & facility affiliations
- Perry County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28196877A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry County Memorial Hospital | Current | Accepting new patients | |
| Perry County Memorial Hospital | Family | Current | Accepting new patients |
| Perry County Memorial Hospital | Family | Past | Accepting new patients |
| Perry County Memorial Hospital | Family | Past | Accepting new patients |
| Perry County Memorial Hospital | Family | Past | Accepting new patients |
Locations
18485 State Road 37
Leopold, IN 47551
Phone (812) 547-3447
105 S 2nd St
Rockport, IN 47635
Phone (812) 547-9661
148 13th St
Tell City, IN 47586
Phone (812) 547-0333
109 US Highway 66 E
Tell City, IN 47586
Phone (812) 547-3447
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
Interoperability endpoints
- sidney.raetz.1@21400.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/775a5afe-736f-4ab9-8474-145e99d69207/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Leopold, IN
- NPI 1215928536
-
- Nurse Practitioner
- Tell City, IN
- NPI 1740151489
Hospital & facility affiliations 2
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": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1124689633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8885 STATE ROAD 237",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475868567",
"telephone_number": "812-547-7011",
"fax_number": "812-772-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 66 E",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475862799",
"telephone_number": "812-547-3447"
}
],
"practiceLocations": [
{
"address_1": "18485 SR 37",
"address_purpose": "LOCATION",
"city": "LEOPOLD",
"state": "IN",
"postal_code": "475518072",
"country_code": "US",
"telephone_number": "812-843-3038",
"fax_number": "812-772-0594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAETZ",
"first_name": "SIDNEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28196877A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71009181A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.