Individual provider Active NPI

Rajene Gerette Fox, NP

  • Family Nurse Practitioner
  • Coshocton, OH
National Provider Identifier
1225401623
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18364-NP Issued in OH
Practice address
311 S 15TH St
Suite 202
Coshocton, OH 43812-1873
Phone
(740) 295-3328
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18364-NP OH Primary

Addresses

Primary practice location

311 S 15TH St
Suite 202
Coshocton, OH 43812-1873

Mailing address

PO Box 1450
Coshocton, OH 43812-6450
Phone (740) 202-0936

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151230002329 OH Practitioner - Nurse Practitioner 7810299393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BR Wellness and Family Medicine LLCGroup PAC ID 5991272429, 2 clinicians

Practice addresses (Care Compare)

111 S Washington St Ab
Millersburg, OH 44654-1315
Phone (330) 432-2740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.18364-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Foundation - Coshocton LLC CurrentSince Oct 31, 2016 Accepting new patients
Prime Healthcare Foundation - Coshocton, LLC CurrentSince Oct 31, 2016 Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

311 S 15th St
Ste 202
Coshocton, OH 43812
Phone (740) 245-3328

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1225401623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438126450",
            "telephone_number": "740-202-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 15TH ST",
            "address_2": "SUITE 202",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121873",
            "telephone_number": "740-295-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "RAJENE",
        "middle_name": "GERETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18364-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.