MR. RONNIE RAINES NP
NPI 1245328947
Nurse Practitioner in Celina, TN
About Mr. Ronnie Raines Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RONNIE RAINES NP (NPI 1245328947) is an individual nurse practitioner in Celina, Tennessee, licensed in Tennessee (12318) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Monroe County Medical Center, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Mr. Ronnie Raines Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ronnie Raines reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tompkinsville, KY 42167
- Reassigned Medicare billing, Kentucky enrollment
- 42 clinicians in this Medicare group
Burkesville, KY 42717
- Reassigned Medicare billing, Kentucky enrollment
- 66 clinicians in this Medicare group
Shelbyville, TN 37160
- Reassigned Medicare billing, Tennessee enrollment
- 498 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monroe County Medical Center
Acute Care Hospitals · Tompkinsville, KYCookeville Regional Medical Center
Acute Care Hospitals · Cookeville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38551 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CELINA, TN 38551
CELINA, TN 38551
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 Ronnie Raines's NPI number?
The NPI number for Ronnie Raines is 1245328947. It was assigned to this individual provider in the NPPES registry on October 10, 2006.
Where is Ronnie Raines located?
Ronnie Raines practices at 100 Old Jefferson Street, Celina, TN 38551. The listed phone number is (931) 243-3581.
What is Ronnie Raines's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ronnie Raines enrolled in Medicare?
Yes. Ronnie 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 organizations bill Medicare for Ronnie Raines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ronnie Raines reassigns Medicare benefits to 3 organizations: Monroe Medical Foundation, Inc. (Tompkinsville, KY), Cumberland County Hospital Association Inc (Burkesville, KY) and App Of Tennessee Hm, PLLC (Shelbyville, TN). 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 Ronnie Raines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ronnie Raines accept?
Health plans from Anthem Blue Cross and Blue Shield list Ronnie 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 Ronnie Raines affiliated with any hospitals?
According to CMS data, Ronnie Raines is affiliated with Monroe County Medical Center and Cookeville Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Ronnie Raines was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Ronnie Raines, NP · NPI 1245328947
Nurse Practitioner physician in Celina, Tennessee. Individual provider, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1245328947 (Entity type: Individual)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 12318 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 OLD JEFFERSON STREET, Celina, TN 38551
- **Phone:** (931) 243-3581
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Monroe Medical Foundation, Inc. (NPI 1114110202, Tompkinsville, KY); Cumberland County Hospital Association Inc (NPI 1073567608, Burkesville, KY); App Of Tennessee Hm, PLLC (NPI 1396160768, Shelbyville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 4, 2019
- **Other identifiers:** Other 4136449 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1245328947) · Data from the CMS NPPES public registry.