RICHARD CARLYLE RAYNOR SR. AGACNP
NPI 1255713046
Nurse Practitioner - Gerontology in Durham, NC
About Richard Carlyle Raynor Sr. Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD CARLYLE RAYNOR SR. AGACNP (NPI 1255713046) is an individual gerontology provider in Durham, North Carolina, licensed in North Carolina (5007650) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Richard Carlyle Raynor Sr. Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Richard Raynor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, North Carolina enrollment
- 728 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 27713 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DURHAM, NC 27713
DURHAM, NC 27713
DURHAM, NC 27713
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 Richard Raynor's NPI number?
The NPI number for Richard Raynor is 1255713046. It was assigned to this individual provider in the NPPES registry on June 29, 2015.
Where is Richard Raynor located?
Richard Raynor practices at 2645 Meridian Pkwy Ste 323, Durham, NC 27713. The listed phone number is (984) 227-8902.
What is Richard Raynor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Richard Raynor enrolled in Medicare?
Yes. Richard Raynor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Richard Raynor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Raynor reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, 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 Richard Raynor'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 Richard Raynor was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Richard Carlyle Raynor Sr., AGACNP · NPI 1255713046
Gerontology physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since June 29, 2015.
## Identity
- **NPI:** 1255713046 (Entity type: Individual)
- **Enumerated:** June 29, 2015
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 5007650 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2645 MERIDIAN PKWY STE 323, Durham, NC 27713-4232
- **Phone:** (984) 227-8902
## 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:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255713046) · Data from the CMS NPPES public registry.