RAVEN WHITNEY RAY APRN
NPI 1033577812
Nurse Practitioner - Family in Henderson, KY
About Raven Whitney Ray Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEN WHITNEY RAY APRN (NPI 1033577812) is an individual family provider in Henderson, Kentucky, licensed in Kentucky (3010103) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raven Whitney Ray Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Raven Ray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Henderson, KY 42420
- Reassigned Medicare billing, Kentucky enrollment
- 174 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HENDERSON, KY 42420
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raven Ray's NPI number?
The NPI number for Raven Ray is 1033577812. It was assigned to this individual provider in the NPPES registry on February 8, 2016.
Where is Raven Ray located?
Raven Ray practices at 110 3rd St Suite 180, Henderson, KY 42420. The listed phone number is (270) 827-3573.
What is Raven Ray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Raven Ray enrolled in Medicare?
Yes. Raven Ray is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Raven Ray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raven Ray reassigns Medicare benefits to Deaconess Clinic, Inc (Henderson, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raven Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raven Ray accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Raven Ray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Raven Ray was last updated on February 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Raven Whitney Ray, APRN · NPI 1033577812
Family physician in Henderson, Kentucky. Individual provider, active in the CMS NPPES registry since February 8, 2016.
## Identity
- **NPI:** 1033577812 (Entity type: Individual)
- **Enumerated:** February 8, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3010103 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 3RD ST, SUITE 180, Henderson, KY 42420-2993
- **Phone:** (270) 827-3573 · **Fax:** (270) 827-1250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Deaconess Clinic, Inc (NPI 1003159997, Henderson, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1033577812) · Data from the CMS NPPES public registry.