Individual provider Active NPI

Tyson Scott Rainer, FNP-C

  • Family Nurse Practitioner
  • Rainsville, AL
National Provider Identifier
1407363146
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01180190 Issued in AL
Practice address
124 McCurdy Ave S Ste C
Rainsville, AL 35986-5206
Phone
(256) 638-8513
Fax
(256) 638-8533
NPI assigned
Jan 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01180190 AL Primary

Addresses

Primary practice location

124 McCurdy Ave S Ste C
Rainsville, AL 35986-5206

Mailing address

PO Box 2420
Rainsville, AL 35986-2420
Phone (256) 638-8513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180409001915 AL Practitioner - Nurse Practitioner 3375806185 Reassigns benefits to 4 organizations

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
Ess of Eufaula, LLCGroup PAC ID 0840677456, 7 clinicians
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr SW
Fort Payne, AL 35968-3458
Phone (256) 845-3150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01180190ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Payne Clinic Corp. CurrentSince Jan 30, 2019 Accepting new patients
Fort Payne Clinic Corp CurrentSince Jan 30, 2019 Accepting new patients
Doctors Med Care of Fort Payne, P.C. CurrentSince Mar 6, 2018 Accepting new patients
Newgen Alabama Billing LLC CurrentSince Jul 28, 2025 Accepting new patients
Ess of Eufaula, LLC CurrentSince Apr 25, 2024 Accepting new patients

Locations

1040 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-6900

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

Organizations & group practices 5

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1407363146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2420",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359862420",
            "telephone_number": "256-638-8513",
            "fax_number": "256-638-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MCCURDY AVE S STE C",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359865206",
            "telephone_number": "256-638-8513",
            "fax_number": "256-638-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINER",
        "first_name": "TYSON",
        "middle_name": "SCOTT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F01180190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

Verify at the official NPI Registry.