RAPHA MEDICAL LLC
NPI 1144936162
Nurse Practitioner - Family in Versailles, KY

Active since January 24, 2023
115 SHETLAND LN, VERSAILLES, KY 40383(859) 421-7847 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Jul 27, 2023, Jan 24, 2023 (3 updates tracked since 2023).

About Rapha Medical Llc NPPES

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

RAPHA MEDICAL LLC (NPI 1144936162) is a healthcare organization registered as a family in Versailles, Kentucky and active in the NPI registry since January 2023. The organization lists Bethany Criscillis, Owner, as its authorized official.

NPPES Registry Identity

NPI1144936162
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRAPHA MEDICAL LLC
Location Address115 SHETLAND LNVersailles, KY 40383-1701
Mailing Address115 Shetland LnVersailles, KY 40383-1701 · (859) 421-7847
Organization SubpartNo
Authorized OfficialBethany CriscillisOwner · (859) 421-7847
Enumeration DateJanuary 24, 2023
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1144936162 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
115 SHETLAND LN, Versailles, KY 40383

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rapha Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rapha Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1326517483
115 SHETLAND LN
Versailles, KY 40383
(859) 421-7847
✔ PECOS✔ Accepts MedicareSame address

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

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 Rapha Medical LLC's NPI number?

The NPI number for Rapha Medical LLC is 1144936162. It was assigned to this organization in the NPPES registry on January 24, 2023.

Where is Rapha Medical LLC located?

Rapha Medical LLC is located at 115 Shetland Ln, Versailles, KY 40383. The listed phone number is (859) 421-7847.

What is Rapha Medical LLC's specialty?

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

Is Rapha Medical LLC enrolled in Medicare?

Yes. Rapha Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rapha Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rapha Medical LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rapha Medical LLC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.