Dustin Brice Raines, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

124241 Issued in AR

Practice address

13501 Chenal Pkwy
Ste 102
Little Rock, AR 72211-5260

Phone

(281) 888-8999

Fax

(281) 305-4054

NPI assigned

Sep 16, 2020

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Hospital Association, IncGroup PAC ID 8123927431, shared by 9 NPIs, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jefferson Hospital Association, Inc

  dba Jefferson Regional Healthworks

  • Clinic/Center
  • Pine Bluff, AR
  • NPI 1841235868
  Medicare reassignment NPD
• Jefferson Hospital Association, Inc

  • Pulmonary Disease Physician
  • Pine Bluff, AR
  • NPI 1932157674
  Medicare reassignment NPD
• Jefferson Hospital Association, Inc

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1225799646
  NPD
• Jefferson Hospital Association, Inc

  dba Jefferson Regional Monticello Medical Clinic

  • Rural Health Clinic/Center
  • Monticello, AR
  • NPI 1821749946
  NPD
• Harris and Theodore Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Malvern, AR
  • NPI 1184975955
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1306452347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 737373",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753737373",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 CHENAL PKWY",
            "address_2": "STE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115260",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "DUSTIN",
        "middle_name": "BRICE",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "124241",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "124241",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "124241",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "124241",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "124241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Neil Ragsdale, PHARM. D
• Haley Grace Ragsdale, M.S., CCC-SLP
• Shanna Rahmaan, CNP
• Alexander Iraj Rahnema, MBBS
• Mary Margaret Rainer
• Kathleen D Raines
• Kristen Lee Raines, APN, FNP-BC
• Susan E Raines
• Amy Michele Rainey, NP
• Cody Lee Rainey, PT, DPT

• Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.