MS. CAROL SUE RAYNOR
NPI 1447283098
Nurse Practitioner in Jacksonville, NC

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
114 MEMORIAL DR STE A, JACKSONVILLE, NC 28546(910) 353-0700(910) 353-5305 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2023, Dec 1, 2020, Jul 8, 2020 and 1 more (4 updates tracked since 2019).

About Ms. Carol Sue Raynor NPPES

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

MS. CAROL SUE RAYNOR (NPI 1447283098) is an individual nurse practitioner in Jacksonville, North Carolina, licensed in North Carolina (201761) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2003).

NPPES Registry Identity

NPI1447283098
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. CAROL SUE RAYNOR
Location Address114 MEMORIAL DR STE AJacksonville, NC 28546-6328
Mailing AddressPo Box 986513, Department 100Boston, MA 02298-6513 · (910) 219-8326 · Fax (910) 939-4269
Fax(910) 353-5305
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2003
Enumeration DateJuly 8, 2006
Last NPPES UpdateNovember 6, 20234 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1447283098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 201761
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 117615 (NC)
114 MEMORIAL DR STE A, Jacksonville, NC 28546

Other Names 1

Former Name (1)Ms. Carol Sue Holland

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Carol Sue Raynor 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 ID1557258001
PECOS Enrollment IDI20040301000753
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 28546 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Nurse Practitioner (Acute Care)
114 MEMORIAL DR STE A
JACKSONVILLE, NC 28546
Nurse Practitioner (Psychiatric/Mental Health)
114 MEMORIAL DR STE A
JACKSONVILLE, NC 28546

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 Carol Raynor's NPI number?

The NPI number for Carol Raynor is 1447283098. It was assigned to this individual provider in the NPPES registry on July 8, 2006. The provider is also known as Ms. Carol Sue Holland.

Where is Carol Raynor located?

Carol Raynor practices at 114 Memorial Dr Ste A, Jacksonville, NC 28546. The listed phone number is (910) 353-0700.

What is Carol Raynor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carol Raynor enrolled in Medicare?

Yes. Carol Raynor 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.

What insurance does Carol Raynor accept?

Health plans from Blue Cross and Blue Shield of NC list Carol 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 Carol Raynor was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.