Raina C Eaton, ARNP
Individual provider Active NPI Family Nurse Practitioner · Berlin, NH
NPI 1699727263 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1699727263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0554682303 (NH)
- Practice address
- 59 Page Hill Rd
Berlin, NH 03570-3531 - Phone
- (603) 752-2900
- Fax
- (603) 752-3727
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coos County Family Health Services Inc
Practice addresses (Care Compare)
133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040
59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2900
Hospital & facility affiliations
- North Country Home Health & Hospice Agency
- Androscoggin Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060616000012 | NH | Practitioner - Nurse Practitioner | 2668484429 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0554682303 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coos County Family Health Services, Inc | Current |
Accepting new patients | |
| Coos County Family Health Services, Inc | Current | Accepting new patients | |
| Coos County Family Health Services, Inc. | Family | Current |
Accepting new patients |
| Coos County Family Health Services, Inc | Family | Past | Accepting new patients |
Locations
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
133 Pleasant St
Berlin, NH 03570
Phone (603) 752-2040
6 1st St
Colebrook, NH 03576
Phone (603) 237-4262
2 Broadway Ave
Gorham, NH 03581
Phone (603) 466-2741
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0554682303 | NH | Yes |
Addresses
Primary practice location
59 Page Hill Rd
Berlin, NH 03570-3531
Mailing address
133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 795908 | Other | MVP HEALTHCARE | |
| 23YP10095NH01 | Other | NH | ANTHEM INSURANCE |
| 30344188 | Medicaid | NH | |
| 0554682303 | Other | NH | STATE LICENSE # |
| 3071900 | Medicaid | NH |
Other providers in Berlin, NH
- Stephen Anthony Druke
- Kelly Marie Dube
- Lisa Duchesne
- Amanda Dustin
- Nicole Eastman
- Rhonda A Edwards
- Norine Elliott
- Chelsea R Endres
- Beatrice Claudia Engstrand
- Julie Erickson
All providers in Berlin, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.