Vicky L Raisor, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3009998 Issued in KY

Practice address

4200 Gardiner View Ave Ste 101
Louisville, KY 40213-1877

Phone

(502) 456-0494

Fax

(502) 456-0496

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pearl Geriatrics and Palliative Medicine, PSCGroup PAC ID 6103954847, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.67 of 100Reported as group

Quality

100

Improvement activities

40

Cost

48.9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Pearl Geriatrics and Palliative Medicine, PSC

  • Geriatric Medicine (Internal Medicine) Physician
  • Louisville, KY
  • NPI 1376865972
  Medicare reassignment Care Compare group NPD
• Pearl Medical Practice PLLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1669841631
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1194181289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 GARDINER VIEW AVE STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131877",
            "telephone_number": "502-456-0494",
            "fax_number": "502-456-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 GARDINER VIEW AVE STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131877",
            "telephone_number": "502-456-0494",
            "fax_number": "502-456-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISOR",
        "first_name": "VICKY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainbow Medical Transportation LLC (Rainbow medical)
• Jon William Rainbow, MDIV, MA, MSW
• Sabrina Constance Rainey, M.D.
• Christopher Adam Rains, LCSW
• Erin Francis Rains, FNP-BC
• Faith James Raitz
• Ashok B Raj, MD
• Matthew Carmel Raj
• Aishwarya Srikant Rajan
• Raji Rajan

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.

Verify at the official NPI Registry.