CARMEN R RAINES FNP-C
NPI 1104241686
Nurse Practitioner - Family in Tupelo, MS

Active since February 20, 2014PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
1265 CLIFF GOOKIN BLVD, TUPELO, MS 38801(662) 840-2131(662) 840-2522 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carmen R Raines Fnp-c NPPES

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

CARMEN R RAINES FNP-C (NPI 1104241686) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (R829034) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104241686
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMEN R RAINESCredential: FNP-C
Location Address1265 CLIFF GOOKIN BLVDTupelo, MS 38801-6749
Mailing Address1265 Cliff Gookin BlvdTupelo, MS 38801-6749 · (662) 840-2131 · Fax (662) 840-2522
Fax(662) 840-2522
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 20, 2014
Last NPPES UpdateJuly 10, 2014
NPI 1104241686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R829034
1265 CLIFF GOOKIN BLVD, Tupelo, MS 38801

Other Names 1

Former Name (1)Carmen R Mcdivitt Rn

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carmen R Raines Fnp-c 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 ID3577783273
PECOS Enrollment IDI20141001000179
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.

Areas of Expertise CMS Part B claims 55

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
675 services461 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
442 services376 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
392 services280 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
364 services250 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
315 services239 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
213 services174 patients

Hospital Affiliations CMS Care Compare 3

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

North Mississippi Medical Center-Gilmore Amory

Acute Care Hospitals · Amory, MS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number250025
Location1105 Earl Frye BlvdAmory, MS 38821 · Monroe County
Emergency services Birthing friendly

Pontotoc Health Service Inc Cah

Critical Access Hospitals · Pontotoc, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251308
Location176 South Main StreetPontotoc, MS 38863 · Pontotoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers11 claims22 services$5.50 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers19 claims19 services$53.51 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers34 claims34 services$20.32 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$6.80 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$38.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers67 claims67 services$111.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Family Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Family Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Nurse Practitioner (Adult Health)
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Internal Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Clinic/Center (Adult Mental Health)
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Family Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Internal Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Internal Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801

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 Carmen Raines's NPI number?

The NPI number for Carmen Raines is 1104241686. It was assigned to this individual provider in the NPPES registry on February 20, 2014. The provider is also known as Carmen R Mcdivitt Rn.

Where is Carmen Raines located?

Carmen Raines practices at 1265 Cliff Gookin Blvd, Tupelo, MS 38801. The listed phone number is (662) 840-2131.

What is Carmen Raines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carmen Raines enrolled in Medicare?

Yes. Carmen Raines 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.

What insurance does Carmen Raines accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Carmen Raines 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 Carmen Raines affiliated with any hospitals?

According to CMS data, Carmen Raines is affiliated with North Mississippi Medical Center, North Mississippi Medical Center-Gilmore Amory and Pontotoc Health Service Inc Cah.

When was this NPI record last updated?

The NPPES record for Carmen Raines was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.