Individual provider Active NPI

Jennifer Lynn Rayner, FNP-C

  • Family Nurse Practitioner
  • Wheatfield, IN
National Provider Identifier
1891573309
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014327A Issued in IN
Practice address
655 E 900 N
Wheatfield, IN 46392-8228
Phone
(219) 771-1900
NPI assigned
Sep 18, 2023
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 71014327A KS
Family Nurse Practitioner 363LF0000X 71014327A IN Primary

Addresses

Primary practice location

655 E 900 N
Wheatfield, IN 46392-8228

Mailing address

655 E 900 N
Wheatfield, IN 46392-8228
Phone (219) 771-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20250320002048 MT Practitioner - Nurse Practitioner 5092162297 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014327AKSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Healthcare Providers Mt, PLLC CurrentSince Mar 17, 2025 Accepting new patients
Aim Healthcare Providers Mt, PLLC PastSince Mar 17, 2025 Accepting new patients

Locations

161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724

2425 W Central Ave
Ste 203205
Missoula, MT 59801

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1891573309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 900 N",
            "city": "WHEATFIELD",
            "state": "IN",
            "postal_code": "463928228",
            "telephone_number": "219-771-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 900 N",
            "city": "WHEATFIELD",
            "state": "IN",
            "postal_code": "463928228",
            "telephone_number": "219-771-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "71014327A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014327A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheatfield, IN

Sources for this page

Verify at the official NPI Registry.