1. Home
  2. Directory
  3. Ohio
  4. Beavercreek
  5. Nurse Practitioner
  6. NPI Profile

MRS. RAEANNE HUNTER FONDRIEST AG-ACNP
NPI 1194105692
Nurse Practitioner - Acute Care in Beavercreek, OH

Active since June 01, 2015PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431(937) 702-4024(937) 702-4035 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2021, Jul 2, 2019, Jun 1, 2017 (3 updates tracked since 2017).

About Mrs. Raeanne Hunter Fondriest Ag-acnp NPPES

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

MRS. RAEANNE HUNTER FONDRIEST AG-ACNP (NPI 1194105692) is an individual acute care provider in Beavercreek, Ohio, licensed in Ohio (COA.17372-NP) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194105692
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. RAEANNE HUNTER FONDRIESTCredential: AG-ACNP
Location Address3535 PENTAGON BLVDBeavercreek, OH 45431-1705
Mailing Address3535 Pentagon BlvdBeavercreek, OH 45431-1705 · (937) 702-4024 · Fax (937) 702-4035
Phone(937) 702-4024
Fax(937) 702-4035
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2015
Enumeration DateJune 1, 2015
Last NPPES UpdateJanuary 14, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1194105692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · COA.17372-NP
3535 PENTAGON BLVD, Beavercreek, OH 45431
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Raeanne Hunter Schafer Rn

Secondary Practice Locations 2

Location 12222 Philadelphia DrDayton, OH 45406-1813 · Phone (937) 734-3516
Location 22400 Miami Valley DrCenterville, OH 45459-4774 · Phone (937) 208-8394 · Fax (937) 208-8388

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, UnitedHealthcare.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

Mrs. Raeanne Hunter Fondriest Ag-acnp 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 ID6800167842
PECOS Enrollment IDI20170809001192
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

3

Medicare enrollment records show Raeanne Fondriest reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Specialists Inc
5.7 mi
Clinical Nurse Specialist
1 WYOMING ST, SUITE 4490
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1386980522 (937) 208-5287
Rajesh C Patel MD Inc
12 mi
Pulmonary Disease
9001 N MAIN ST, SUITE A
Dayton, OH 45415
  • Reassigned Medicare billing, Ohio enrollment
  • 43 clinicians in this Medicare group
NPI 1467446369 (937) 832-0990
Kettering Independent Medical Group Inc
13 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629

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.

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45431 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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

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.

ASHLEY GEORGE
Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000
EMILY GRACE TROMPAK (O'NEAL) PA-C
Physician Assistant (Medical)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4450
DR. ADELAIDE OMANE CRNA
Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000
GREENE MEMORIAL HOSPITAL SERVICES, INC
Obstetrics & Gynecology
3535 PENTAGON BLVD, SUITE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
MARIAN GAIDA PHAM NP
Nurse Practitioner (Gerontology)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 395-6665
DR. DANIEL B LUCKENBILL MD
Orthopaedic Surgery (Sports Medicine)
3535 PENTAGON BLVD, STE 320
BEAVERCREEK, OH 45431
Greene County (937) 433-5309
MR. AARON THOMAS WELLY ACNP-AG
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 395-6665
DARLA RAE BAKER CNM
Advanced Practice Midwife
3535 PENTAGON BLVD, SUITE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350

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 Raeanne Fondriest's NPI number?

The NPI number for Raeanne Fondriest is 1194105692. It was assigned to this individual provider in the NPPES registry on June 1, 2015. The provider is also known as Miss Raeanne Hunter Schafer Rn.

Where is Raeanne Fondriest located?

Raeanne Fondriest practices at 3535 Pentagon Blvd, Beavercreek, OH 45431. The listed phone number is (937) 702-4024.

What is Raeanne Fondriest's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Raeanne Fondriest enrolled in Medicare?

Yes. Raeanne Fondriest 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 Raeanne Fondriest's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raeanne Fondriest reassigns Medicare benefits to 3 organizations: Premier Health Specialists Inc (Dayton, OH), Rajesh C Patel MD Inc (Dayton, OH) and Kettering Independent Medical Group Inc (Miamisburg, OH). 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 Raeanne Fondriest's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raeanne Fondriest accept?

Health plans from CareSource, MedMutual and UnitedHealthcare list Raeanne Fondriest 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 Raeanne Fondriest affiliated with any hospitals?

According to CMS data, Raeanne Fondriest is affiliated with Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Raeanne Fondriest was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.