Individual provider Active NPI

Sidney Ann Raetz, FNP-C

  • Family Nurse Practitioner
  • Tell City, IN
National Provider Identifier
1124689633
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009181A Issued in IN
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

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Perry County Memorial HospitalGroup PAC ID 6901871276, 28 clinicians
Perry County Family PracticeGroup PAC ID 6204867559, 3 clinicians

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 Hospital, Tell City, IN, CCN 151322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28196877AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Perry County Memorial Hospital CurrentSince Nov 10, 2019 Accepting new patients
Perry County Memorial Hospital Family CurrentSince Nov 10, 2019 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

  • Direct secure messaging: sidney.raetz.1@21400.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.