RAELYNNE PUTMAN TERRY FNP
NPI 1578402020
Nurse Practitioner - Family in Tupelo, MS

Active since March 27, 2026PECOS Enrolled
830 S GLOSTER ST, TUPELO, MS 38801(662) 377-2395 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 15, 2026, Mar 27, 2026 (2 updates tracked since 2026).

About Raelynne Putman Terry Fnp NPPES

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

RAELYNNE PUTMAN TERRY FNP (NPI 1578402020) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (908342) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1578402020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAELYNNE PUTMAN TERRYCredential: FNP
Location Address830 S GLOSTER STTupelo, MS 38801-4934
Mailing Address189 County Road 14Houlka, MS 38850-9638
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 27, 2026
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1578402020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 908342
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 888765 (MS)
830 S GLOSTER ST, Tupelo, MS 38801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Raelynne Putman Terry Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103394150
PECOS Enrollment IDI20260507002141
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 38801 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

Nurse Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Emergency Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Internal Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner
830 S GLOSTER ST
TUPELO, MS 38801

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 Raelynne Terry's NPI number?

The NPI number for Raelynne Terry is 1578402020. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Raelynne Terry located?

Raelynne Terry practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-2395.

What is Raelynne Terry's specialty?

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

Is Raelynne Terry enrolled in Medicare?

Yes. Raelynne Terry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raelynne Terry was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.