Individual provider Active NPI

Ronnie Raines, NP

  • Nurse Practitioner
  • Celina, TN
National Provider Identifier
1245328947
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12318 Issued in TN
Practice address
100 Old Jefferson Street
Celina, TN 38551
Phone
(931) 243-3581
NPI assigned
Oct 10, 2006
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3010958 KY
Nurse Practitioner 363L00000X 12318 TN Primary

Addresses

Primary practice location

100 Old Jefferson Street
Celina, TN 38551

Mailing address

100 Old Jefferson Street
Celina, TN 38551
Phone (931) 243-3581

Other identifiers 1

IdentifierTypeStateIssuer
4136449OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070108000525 TN Practitioner - Nurse Practitioner 1052311495 Reassigns benefits to 1 organization
I20191024001571 KY Practitioner - Nurse Practitioner 1052311495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Medical Foundation, Inc.Group PAC ID 5092702472, 30 clinicians

Practice addresses (Care Compare)

477 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone (270) 487-9231

529 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone 27048792311199

604 N Main St
Tompkinsville, KY 42167-1128
Phone (270) 407-5150

606 N Main St
Tompkinsville, KY 42167-1128
Phone (270) 487-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12318TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital Association Inc Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
Monroe Medical Foundation, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Copeland Medical Services Current Accepting new patients
App of Tennessee HM, PLLC Nurse Practitioner CurrentSince Sep 1, 2019 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Oct 1, 2019 Accepting new patients
Monroe Medical Foundation Inc CurrentSince Dec 1, 2021 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner Past Accepting new patients
Cumberland County Hospital Association Inc Past Accepting new patients
Cumberland River Hospital Inc Past Accepting new patients

Locations

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

477 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-0701

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

604 N Main St
Tompkinsville, KY 42167
Phone (270) 407-5150

606 N Main St
Tompkinsville, KY 42167
Phone (270) 487-6161

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

110 Doctors Dr
Celina, TN 38551
Phone (931) 243-3860

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Interoperability endpoints

  • Direct secure messaging: nmcrraines@yourcarecommunity.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1245328947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD JEFFERSON STREET",
            "city": "CELINA",
            "state": "TN",
            "postal_code": "38551",
            "telephone_number": "931-243-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD JEFFERSON STREET",
            "city": "CELINA",
            "state": "TN",
            "postal_code": "38551",
            "telephone_number": "931-243-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "RONNIE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010958",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4136449",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TN

Sources for this page

Verify at the official NPI Registry.