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SUNEETA RAI ACNS, FNP
NPI 1104100254
Nurse Practitioner in Columbus, OH

Active since October 07, 2011PECOS EnrolledAccepts Medicare Assignment
52.89/100
CMS Quality Rating
5100 W BROAD ST, COLUMBUS, OH 43228(614) 544-2058(614) 544-2444 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2026, Apr 14, 2018 (2 updates tracked since 2018).

About Suneeta Rai Acns, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNEETA RAI ACNS, FNP (NPI 1104100254) is an individual nurse practitioner in Columbus, Ohio, licensed in Ohio (APRN.CNP.16190) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104100254
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUNEETA RAICredential: ACNS, FNP
Location Address5100 W BROAD STColumbus, OH 43228-1607
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (614) 544-6366 · Fax (614) 544-6350
Phone(614) 544-2058
Fax(614) 544-2444
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 7, 2011
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1104100254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.16190
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 2011010580 (OH)
5100 W BROAD ST, Columbus, OH 43228
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suneeta Rai Acns, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436318623
PECOS Enrollment IDI20140917001666
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Suneeta Rai reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
7.7 mi
Family Medicine
3535 OLENTANGY RIVER RD
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1578545273 (614) 533-5500
Mobile Wound Healing LLC
10 mi
Family Medicine
6375 RIVERSIDE DR STE 105
Dublin, OH 43017
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
NPI 1447013511 (614) 516-6980
Premier Health Specialists Inc
42 mi
Obstetrics & Gynecology
100 KAHOE LN
Yellow Springs, OH 45387
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1356639397 (937) 767-7311
Wissam Khoury DPM LLC
131 mi
Podiatrist
2475 E 22ND ST STE 120
Cleveland, OH 44115
  • Reassigned Medicare billing, Ohio enrollment
  • 21 clinicians in this Medicare group
NPI 1295064343 (216) 367-9444
Consonant Healing Associates Of De LLC
347 mi
Surgery
909 RIDGEBROOK RD STE 220
Sparks, MD 21152
  • Reassigned Medicare billing, Ohio enrollment
  • 80 clinicians in this Medicare group
NPI 1669099321 (443) 383-9300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

52.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.53
Improvement Activities40
Cost23.24

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW CAO CECOL DO
Student in an Organized Health Care Education/Training Program
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1000
NIKOLE RENEE PATTON F.N.P.
Nurse Practitioner (Family)
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1810
DR. HEATHER MICHELLE CHILDERS D.O.
Emergency Medicine
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1000
MEGAN TEE ATKINSON CNP
Nurse Practitioner (Family)
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-2058
DR. TIMOTHY JAMES BARLEY DO
Student in an Organized Health Care Education/Training Program
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1000
SHELBY CORNELIUS
Student in an Organized Health Care Education/Training Program
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. CECILIA GUTIERREZ HANSEN DO
Emergency Medicine
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1000
DR. KAITLIN MARIE BOWERS D.O.
Emergency Medicine
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 554-1000

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 Suneeta Rai's NPI number?

The NPI number for Suneeta Rai is 1104100254. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Where is Suneeta Rai located?

Suneeta Rai practices at 5100 W Broad St, Columbus, OH 43228. The listed phone number is (614) 544-2058.

What is Suneeta Rai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Suneeta Rai enrolled in Medicare?

Yes. Suneeta Rai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Suneeta Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suneeta Rai reassigns Medicare benefits to 5 organizations: Ohiohealth Corporation (Columbus, OH), Mobile Wound Healing LLC (Dublin, OH), Premier Health Specialists Inc (Yellow Springs, OH), Wissam Khoury DPM LLC (Cleveland, OH) and Consonant Healing Associates Of De LLC (Sparks, MD). Each 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 Suneeta Rai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suneeta Rai accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Suneeta Rai 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.

Is Suneeta Rai affiliated with any hospitals?

According to CMS data, Suneeta Rai is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Suneeta Rai was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.