Individual provider Active NPI

Corrine Elizabeth Rauscher, FNP-BC

  • Family Nurse Practitioner
  • Boonville, NY
National Provider Identifier
1336677822
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341763-1 Issued in NY
Practice address
13407 State Route 12
Boonville, NY 13309-4954
Phone
(315) 942-3500
NPI assigned
May 26, 2017
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341763-1 NY Primary
Registered Nurse 163W00000X 658375 NY

Addresses

Primary practice location

13407 State Route 12
Boonville, NY 13309-4954

Mailing address

245 Avery LN
Rome, NY 13441-4237
Phone (315) 337-1200

Other practice location 1

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7184

Other names 1

  • Corrine Elizabeth Kelley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170825002397 NY Practitioner - Nurse Practitioner 2961774955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rome Memorial Hospital, Inc.Group PAC ID 9638087273, 56 clinicians

Practice addresses (Care Compare)

13407 State Route 12
Boonville, NY 13309-4954
Phone (315) 942-3500

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7184

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
658375NYMDRegistered Nurse
341763NYMDVascular Surgery Physician
F341763-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Memorial Hospital, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Rome Memorial Hospital, Inc. Current Accepting new patients
Rome Memorial Hospital CurrentSince Jul 1, 2017 Accepting new patients

Locations

13407 State Route 12
Boonville, NY 13309
Phone (315) 942-3500

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

1801 Black River Blvd N
Rome, NY 13440
Phone (315) 337-3770

245 Avery Ln
Rome, NY 13441

Interoperability endpoints

  • Direct secure messaging: crauscher@rmhclinics.medentdirect.com
  • Direct secure messaging: creed@rmh.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1336677822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 AVERY LN",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414237",
            "telephone_number": "315-337-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 STATE ROUTE 12",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133094954",
            "telephone_number": "315-942-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N James St",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134402844",
            "country_code": "US",
            "telephone_number": "315-338-7184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUSCHER",
        "first_name": "CORRINE",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341763-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "658375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRINE",
            "last_name": "KELLEY",
            "middle_name": "ELIZABETH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boonville, NY

Sources for this page

Verify at the official NPI Registry.