CAROLYN RAINES FNP-BC
NPI 1225490220
Nurse Practitioner - Family in Houston, TX
About Carolyn Raines Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN RAINES FNP-BC (NPI 1225490220) is an individual family provider in Houston, Texas, licensed in Texas (AP130151) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carolyn Raines Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carolyn Raines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77080
- Reassigned Medicare billing, Texas enrollment
- 79 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 77065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carolyn Raines's NPI number?
The NPI number for Carolyn Raines is 1225490220. It was assigned to this individual provider in the NPPES registry on March 28, 2016.
Where is Carolyn Raines located?
Carolyn Raines practices at 10900 Jones Rd, Houston, TX 77065. The listed phone number is (281) 377-4995.
What is Carolyn Raines's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carolyn Raines enrolled in Medicare?
Yes. Carolyn Raines is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carolyn Raines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Raines reassigns Medicare benefits to Spring Branch Community Health Center (Houston, TX). 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 Carolyn Raines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolyn Raines accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Carolyn 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.
When was this NPI record last updated?
The NPPES record for Carolyn Raines was last updated on August 12, 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.
# Carolyn Raines, FNP-BC · NPI 1225490220
Family physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 28, 2016.
## Identity
- **NPI:** 1225490220 (Entity type: Individual)
- **Enumerated:** March 28, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP130151 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 10900 JONES RD, Houston, TX 77065-5470
- **Phone:** (281) 377-4995
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spring Branch Community Health Center (NPI 1558688135, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1225490220) · Data from the CMS NPPES public registry.