Individual provider Active NPI

Kristen Raniewicz, N.P.

  • Nurse Practitioner
  • Elmira, NY
National Provider Identifier
1396197935
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
340717 Issued in NY
Practice address
830 County Road 64
Elmira, NY 14903
Phone
(607) 846-2030
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 SP018838 PA
Nurse Practitioner 363L00000X 340717 NY Primary

Addresses

Primary practice location

830 County Road 64
Elmira, NY 14903

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Other practice location 1

1 Guthrie Sq
Sayre, PA 18840-1698
Phone (570) 888-6666

Other practice location 2

830 County Road 64
Elmira, NY 14903
Phone (607) 846-2030

Other names 1

  • Kristen Marie Hepfner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, IL, MI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160920002006 NY Practitioner - Nurse Practitioner 4284921156 Reassigns benefits to 1 organization
I20181001000163 PA Practitioner - Nurse Practitioner 4284921156 Reassigns benefits to 1 organization
I20240416000853 IL Practitioner - Nurse Practitioner 4284921156 Reassigns benefits to 2 organizations
I20240919001524 MI Practitioner - Nurse Practitioner 4284921156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

2549 Vestal Pkwy E
Suite 3
Vestal, NY 13850-2084
Phone (607) 225-0056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340717NYMDNurse Practitioner
SP018838PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Oct 28, 2024 Accepting new patients
Robert Packer Hospital CurrentSince Jul 25, 2018 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Apr 15, 2024 Accepting new patients
Robert Packer Hospital CurrentSince Jul 25, 2018 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Oct 28, 2024 Accepting new patients
Pic Indiana PC CurrentSince May 1, 2025 Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients
Wellnow Urgent Care, PC PastSince Aug 1, 2018 Accepting new patients

Locations

800 W Fulton Market
Fl 12
Chicago, IL 60607

933 W Diversey Pkwy
Chicago, IL 60614
Phone (312) 445-8805

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

3570 N US 31 S
Traverse City, MI 49684
Phone (231) 486-2573

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

1 Guthrie Sq
Ste B
Sayre, PA 18840
Phone (570) 888-6666

Organizations & group practices 10

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1396197935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 COUNTY ROAD 64",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14903",
            "telephone_number": "607-846-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188401698",
            "country_code": "US",
            "telephone_number": "570-888-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 County Road 64",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "14903",
            "country_code": "US",
            "telephone_number": "607-846-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANIEWICZ",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018838",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "340717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HEPFNER",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.