Christina Marie Raftery, C.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.0029249 Issued in OH

Practice address

8542 Bears Den LN
Broadview HTS, OH 44147-1915

Phone

(216) 215-5564

NPI assigned

Oct 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Health Hospital, Concord, OH, CCN 360098
• Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
• Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: craftery219649@ehrdirect.uhhospitals.org

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.

• Lake Hospital System Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1952339996

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Madison, OH
  • NPI 1134189376
  NPD
• Lake Hospital System, Inc

  dba Lake Health Urgent Care and Walk In Clinic

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966
  NPD

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

• Lake Hospital System Inc

  dba Lake Health

  • General Acute Care Hospital
  • Willoughby, OH
  • NPI 1972689172
  Care Compare affiliation
• Uh Regional Hospitals

  • General Acute Care Hospital
  • Chardon, OH
  • NPI 1669562864
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba Uhcmc

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1043397292
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba University Hospitals Mentor Health Center

  • Multi-Specialty Clinic/Center
  • Mentor, OH
  • NPI 1487770335

  Hospital

  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba University Hospitals Westlake Health Center

  • Multi-Specialty Clinic/Center
  • Westlake, OH
  • NPI 1669598082

  Hospital

  Care Compare affiliation
• University Hospitals of Cleveland

  dba UH Case Medical Center

  • Clinic/Center
  • Cleveland, OH
  • NPI 1760673412

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1215116215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8542 BEARS DEN LN",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441471915",
            "telephone_number": "216-215-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8542 BEARS DEN LN",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441471915",
            "telephone_number": "216-215-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFTERY",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.337082",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN-CNP-0029249",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0029249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO E-LICENSE PROFESSIONAL LICENSURE",
            "identifier": "APRN.CNP.0029249",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452189",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela A Peresta
• Sara Lynn Pesut, DPT
• Kristina J Potonic
• Susan M Powers, MA,CCC,SLP
• Emily K Quade, MA,CCC,SLP
• Kathryn Ranieri, OTR/L
• Justin T Rich, MD
• Jenna Salupo
• Kristina Sanson, RN
• Rosemarie Theresa Santiago, LPN

• Nurse Practitioner in Broadview HTS, OH
• Providers in Broadview HTS, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.