Raenell J Poynter, APRN.CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

03408-NP Issued in OH

Practice address

7756 Washington Village Dr Ste 135
Centerville, OH 45459-3999

Phone

(937) 425-4137

Fax

(937) 425-4139

NPI assigned

Nov 30, 2006

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

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.

• Kettering Independent Medical Group Inc

  • Orthopaedic Surgery Physician
  • Miamisburg, OH
  • NPI 1629387865
  Medicare reassignment Care Compare group NPD
• Vpa PC

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1932386059
  Medicare reassignment NPD
• Jill B Vosler, D.O

  • Family Medicine Physician
  • Eaton, OH
  • NPI 1639153166
  Medicare reassignment
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497700397
  NPD
• Vpa PC

  • Clinical Social Worker
  • Maumee, OH
  • NPI 1952929630
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1396812467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SOUTHERN BLVD STE 401",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291226",
            "telephone_number": "855-500-2873",
            "fax_number": "937-281-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7756 WASHINGTON VILLAGE DR STE 135",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593999",
            "telephone_number": "937-425-4137",
            "fax_number": "937-425-4139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Commons Blvd",
            "address_2": "Ste. 110",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454313820",
            "country_code": "US",
            "telephone_number": "937-490-0123",
            "fax_number": "937-306-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Southern Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291265",
            "country_code": "US",
            "telephone_number": "855-500-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POYNTER",
        "first_name": "RAENELL",
        "middle_name": "J",
        "credential": "APRN.CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN241822",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "03408-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085970",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "7756 Washington Village Dr Ste 135",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpoynter190746@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7756 Washington Village Dr Ste 135",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lucas Polley
• Jill Alane Poppe Mackenzie, JD, LSW
• Talmage N Porter, MD
• Erin Poston, AT, ATC
• Samantha Powell
• Shea Monique Poythress
• Premier Health
• Premier Health Specialists Inc (Premier Neurosurgery Associates)
• Premier Health Specialists Inc (Dayton Ob-Gyn Associates)
• Premier Integrated Medical Assoc LTD (PriMed Physicians)

• Family Nurse Practitioner in Centerville, OH
• Providers in Centerville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.