Rae Ann Allen, CNP
Individual provider Active NPI Family Medicine Physician · Fostoria, OH
NPI 1821878950 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1821878950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- APRN.CNP.0032241 (OH)
- Practice address
- 1051 N Union St
Fostoria, OH 44830-2052 - Phone
- (567) 525-9243
- NPI assigned
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-South Home Care Services LLC
Practice addresses (Care Compare)
Whitehouse, OH 43571
Phone (419) 291-4500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20240223002896 | OH | Practitioner - Nurse Practitioner | 0345685863 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN.CNP.0032241 | OH | Yes |
Addresses
Primary practice location
1051 N Union St
Fostoria, OH 44830-2052
Mailing address
1051 N Union St
Fostoria, OH 44830-2052
Phone (567) 525-9243
Other providers in Fostoria, OH
All providers in Fostoria, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 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.