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RAINA THEISS CNP
NPI 1588069595
Nurse Practitioner - Family in Columbus, OH

Active since November 03, 2014PECOS EnrolledAccepts Medicare Assignment
750 MOUNT CARMEL MALL, SUITE 300, COLUMBUS, OH 43222(614) 224-6420 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raina Theiss Cnp NPPES

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

RAINA THEISS CNP (NPI 1588069595) is an individual family provider in Columbus, Ohio, licensed in Ohio (COA.16688-NP) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1588069595
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAINA THEISSCredential: CNP
Location Address750 MOUNT CARMEL MALL, SUITE 300Columbus, OH 43222-1553
Mailing Address750 Mount Carmel Mall, Suite 300Columbus, OH 43222-1553
Phone(614) 224-6420
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 3, 2014
✔ NPI 1588069595 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 OH · COA.16688-NP
750 MOUNT CARMEL MALL, Columbus, OH 43222
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Raina Theiss Cnp 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 ID5698094753
PECOS Enrollment IDI20150512001921
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43222 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers14 claims29 services$83.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JULIE M JONES MD
Obstetrics & Gynecology
750 MOUNT CARMEL MALL, SUITE 100
COLUMBUS, OH 43222
Franklin County (614) 434-2400
MID-OHIO SURGICAL ASSOCIATES
Surgery
750 MOUNT CARMEL MALL, SUITE 200
COLUMBUS, OH 43222
Franklin County (614) 228-0768
MARTIN J. WOODARD M.D.
Emergency Medicine
750 MOUNT CARMEL MALL, SUITE 300
COLUMBUS, OH 43222
Franklin County (614) 224-6420
PATRICIA S CHOBAN MD
Surgery
750 MOUNT CARMEL MALL, SUITE 380
COLUMBUS, OH 43222
Franklin County (614) 228-0768
DOROTHY A FRIDAY MD
Obstetrics & Gynecology
750 MOUNT CARMEL MALL, SUITE 100
COLUMBUS, OH 43222
Franklin County (614) 434-2400
DR. ROBERT F. GRIFFITH M.D.
Emergency Medicine
750 MOUNT CARMEL MALL, SUITE 300
COLUMBUS, OH 43222
Franklin County (614) 224-6420
JANET M LUCAS MD
Obstetrics & Gynecology (Gynecology)
750 MOUNT CARMEL MALL, SUITE 100
COLUMBUS, OH 43222
Franklin County (614) 434-2400
MICHAEL L. VORBROKER M.D.
Emergency Medicine
750 MOUNT CARMEL MALL, SUITE 300
COLUMBUS, OH 43222
Franklin County (614) 224-6420

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 Raina Theiss's NPI number?

The NPI number for Raina Theiss is 1588069595. It was assigned to this individual provider in the NPPES registry on November 3, 2014.

Where is Raina Theiss located?

Raina Theiss practices at 750 Mount Carmel Mall Suite 300, Columbus, OH 43222. The listed phone number is (614) 224-6420.

What is Raina Theiss's specialty?

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

Is Raina Theiss enrolled in Medicare?

Yes. Raina Theiss 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 Raina Theiss accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Raina Theiss 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 Raina Theiss affiliated with any hospitals?

According to CMS data, Raina Theiss is affiliated with Mount Carmel East & West, Memorial Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Raina Theiss was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.