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DESIREE RAYNOR NP-C
NPI 1346624095
Nurse Practitioner - Family in Johnson City, TN

Active since July 13, 2015PECOS Enrolled
818 SUNSET DR STE 102, JOHNSON CITY, TN 37604(423) 794-3142 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desiree Raynor Np-c NPPES

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

DESIREE RAYNOR NP-C (NPI 1346624095) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (APN0000019740) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346624095
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDESIREE RAYNORCredential: NP-C
Location Address818 SUNSET DR STE 102Johnson City, TN 37604-8310
Mailing Address818 Sunset Dr Ste 102Johnson City, TN 37604-8310
Phone(423) 794-3142
Sole ProprietorNo
Enumeration DateJuly 13, 2015
Last NPPES UpdateJuly 22, 2016
✔ NPI 1346624095 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
License✔ Licensed in TN · APN0000019740
818 SUNSET DR STE 102, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 2

MedicaidQ015505TN
Medicare PIN103I507126TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desiree Raynor Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY LYNN RODRIGUEZ RMA
Specialist/Technologist, Other
818 SUNSET DR STE 102
JOHNSON CITY, TN 37604
Washington County (865) 673-5000
KESHI HAMBLIN RT(R)
Radiologic Technologist
818 SUNSET DR STE 102
JOHNSON CITY, TN 37604
Washington County (865) 673-5000

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 Desiree Raynor's NPI number?

The NPI number for Desiree Raynor is 1346624095. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Desiree Raynor located?

Desiree Raynor practices at 818 Sunset Dr Ste 102, Johnson City, TN 37604. The listed phone number is (423) 794-3142.

What is Desiree Raynor's specialty?

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

Is Desiree Raynor enrolled in Medicare?

Yes. Desiree Raynor is registered in the Medicare PECOS enrollment system.

What insurance does Desiree Raynor accept?

Health plans from Oscar Insurance Company list Desiree Raynor 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 Desiree Raynor was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.