Individual provider Active NPI

Christopher Patrick Raley

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1497245062
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP.023425 Issued in OH
Practice address
2123 Auburn Ave Ste 201
Cincinnati, OH 45219
Phone
(513) 206-1170
Fax
(513) 206-1172
NPI assigned
May 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.308327 OH
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN308327 OH
Family Nurse Practitioner 363LF0000X CNP.023425 OH Primary

Addresses

Primary practice location

2123 Auburn Ave Ste 201
Cincinnati, OH 45219

Mailing address

3607 Legend Oaks Dr
Amelia, OH 45102-1267
Phone (513) 502-7219

Other identifiers 1

IdentifierTypeStateIssuer
0307916MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180913000979 OH Practitioner - Nurse Practitioner 1557611456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 139
Cincinnati, OH 45219-2906
Phone (513) 541-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
77.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.308327OHMDRegistered Nurse
RN308327OHMDRegistered Nurse
CNP.023425OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Cardiovascular Associates LLC Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Christ Hospital Cardiology Assoc Single Specialty Past Accepting new patients

Locations

2123 Auburn Ave
Ste 201
Cincinnati, OH 45219
Phone (513) 206-1170

2123 Auburn Ave
#136
Cincinnati, OH 45219
Phone (513) 206-1060

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

2123 Auburn Ave
Ste 139
Cincinnati, OH 45219
Phone (513) 206-1170

2123 Auburn Ave
Ste 310
Cincinnati, OH 45219
Phone (513) 241-2123

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1497245062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 LEGEND OAKS DR",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021267",
            "telephone_number": "513-502-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-206-1170",
            "fax_number": "513-206-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.308327",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN308327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.023425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307916",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.