Individual provider Active NPI

Denine Raymond, FNP

  • Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1528611357
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23055 Issued in SC
Practice address
311 Glenwood Dr
Rock Hill, SC 29732-1818
Phone
(803) 366-7175
Fax
(803) 366-0529
NPI assigned
Jul 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 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 23055 SC
Nurse Practitioner 363L00000X 23055 SC Primary

Addresses

Primary practice location

311 Glenwood Dr
Rock Hill, SC 29732-1818

Mailing address

311 Glenwood Dr
Rock Hill, SC 29732-1818
Phone (803) 366-7175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20191017001796 SC Practitioner - Nurse Practitioner 6002147378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

200 Herlong Ave S
Rock Hill, SC 29732-1182

311 Glenwood Dr
Rock Hill, SC 29732-1818
Phone (803) 366-7175

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.78 of 100Reported as individual
Quality
90.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23055SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medical Consultants PA CurrentSince Oct 1, 2019 Accepting new patients
Piedmont Physician Network LLC Nurse Practitioner CurrentSince Oct 18, 2023 Accepting new patients
Piedmont General Surgery Associates, LLC Past Accepting new patients

Locations

311 Glenwood Dr
Rock Hill, SC 29732
Phone (803) 366-7175

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • Direct secure messaging: denine.raymond.1@14929.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22888/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1528611357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GLENWOOD DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321818",
            "telephone_number": "803-366-7175",
            "fax_number": "803-366-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GLENWOOD DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321818",
            "telephone_number": "803-366-7175",
            "fax_number": "803-366-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "DENINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23055",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "23055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.