Individual provider Active NPI

Raejeanne Beth Nutter, APRN-CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1538775705
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027082 Issued in OH
Practice address
460 W 10TH Ave
Columbus, OH 43210-1240
Phone
(614) 293-3316
Fax
(614) 293-7377
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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 APRN.CNP.0027082 OH Primary

Addresses

Primary practice location

460 W 10TH Ave
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-3316

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
I20221220002726 OH Practitioner - Nurse Practitioner 2860862554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Healthcare Professionals IncGroup PAC ID 4789596362, 144 clinicians
Central Ohio Surgical AssociatesGroup PAC ID 6002003258, 16 clinicians

Practice addresses (Care Compare)

399 Lincoln Park Dr
Suite a
New Lexington, OH 43764-1078
Phone (740) 343-4447

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-4404

6075 E Broad St
Columbus, OH 43213-5131

6484 E Main St
Reynoldsburg, OH 43068-2493
Phone (614) 864-6363

Hospital & facility affiliations

  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals, Inc. CurrentSince Jan 14, 2024 Accepting new patients
Fairfield Healthcare Professionals Inc CurrentSince Jan 14, 2024 Accepting new patients
Central Ohio Surgical Associates CurrentSince Oct 1, 2022 Accepting new patients
Mid-Ohio Surgical Associates Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Fairfield Healthcare Professionals, Inc. Past Accepting new patients

Locations

6075 E Broad St
Ste B
Columbus, OH 43213
Phone (614) 228-0768

6075 E Broad St
Columbus, OH 43213
Phone (614) 759-8660

275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

725 Buckles Ct N
Ste 210
Gahanna, OH 43230
Phone (614) 245-4263

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

5500 N Meadows Dr
Grove City, OH 43123
Phone (614) 488-1816

5500 N Meadows Dr
Ste 210
Grove City, OH 43123
Phone (614) 228-0768

2405 N Columbus St
Ste 280
Lancaster, OH 43130
Phone (740) 689-4470

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

2405 N Columbus St
Ste 260
Lancaster, OH 43130
Phone (740) 654-8623

775 Carroll St
New Lexington, OH 43764
Phone (740) 343-0341

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

1010 Refugee Rd
Ste 299
Pickerington, OH 43147
Phone (614) 788-4600

Interoperability endpoints

  • Direct secure messaging: rnutter2544930@direct.trinity-health.org

Organizations & group practices 6

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 5

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1538775705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-3316",
            "fax_number": "614-293-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-3316",
            "fax_number": "614-293-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "RAEJEANNE",
        "middle_name": "BETH",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.