NATHANIEL RAINES APRN
NPI 1104745884
Nurse Practitioner - Psychiatric/Mental Health in Hamden, CT

Active since July 15, 2026PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nathaniel Raines Aprn NPPES

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

NATHANIEL RAINES APRN (NPI 1104745884) is an individual psychiatric/mental health provider in Hamden, Connecticut, licensed in Connecticut (17885) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1104745884
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameNATHANIEL RAINESCredential: APRN
Location Address850 MIX AVEHamden, CT 06514-2102
Mailing Address45 Woodin StHamden, CT 06514-4403 · (203) 464-7915
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1104745884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 17885
850 MIX AVE, Hamden, CT 06514

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

Nathaniel Raines Aprn 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 ID4880051812
PECOS Enrollment IDI20260728002928
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 Reassignment

Medicare enrollment records show Nathaniel Raines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 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 06514 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Speech-Language Pathologist
850 MIX AVE
HAMDEN, CT 06514
Speech-Language Pathologist
850 MIX AVE
HAMDEN, CT 06514
Family Medicine
850 MIX AVE
HAMDEN, CT 06514
Physical Therapist
850 MIX AVE
HAMDEN, CT 06514
Family Medicine
850 MIX AVE
HAMDEN, CT 06514
Speech-Language Pathologist
850 MIX AVE
HAMDEN, CT 06514
Occupational Therapist
850 MIX AVE
HAMDEN, CT 06514
Student in an Organized Health Care Education/Training Program
850 MIX AVE
HAMDEN, CT 06514

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 Nathaniel Raines's NPI number?

The NPI number for Nathaniel Raines is 1104745884. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Where is Nathaniel Raines located?

Nathaniel Raines practices at 850 Mix Ave, Hamden, CT 06514. The listed phone number is (203) 281-3500.

What is Nathaniel Raines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nathaniel Raines enrolled in Medicare?

Yes. Nathaniel 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.

Which organization bills Medicare for Nathaniel Raines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Raines reassigns Medicare benefits to Step Up Care PC LLC (Danielson, CT). 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 Nathaniel Raines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathaniel Raines was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.