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MRS. PAMELA DAWN RAINES APRN
NPI 1699382580
Nurse Practitioner - Gerontology in Springfield, OH

Active since September 25, 2020PECOS EnrolledAccepts Medicare Assignment
100 W MCCREIGHT AVE STE 110, SPRINGFIELD, OH 45504(937) 523-9940(937) 523-9935 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Dec 6, 2022, Sep 25, 2020 (3 updates tracked since 2020).

About Mrs. Pamela Dawn Raines Aprn NPPES

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

MRS. PAMELA DAWN RAINES APRN (NPI 1699382580) is an individual gerontology provider in Springfield, Ohio, licensed in Ohio (APRN.CNP.0027563) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - West Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699382580
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. PAMELA DAWN RAINESCredential: APRN
Location Address100 W MCCREIGHT AVE STE 110Springfield, OH 45504-1890
Mailing Address100 W Mccreight Ave Ste 110Springfield, OH 45504-1890 · (937) 523-9940 · Fax (937) 523-9935
Phone(937) 523-9940
Fax(937) 523-9935
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 25, 2020
Last NPPES UpdateOctober 10, 20243 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1699382580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OH · APRN.CNP.0027563
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN.CNP.0027563 (OH)
100 W MCCREIGHT AVE STE 110, Springfield, OH 45504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Mrs. Pamela Dawn Raines Aprn 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 ID4789090796
PECOS Enrollment IDI20210316002513
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services15 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45504 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.

Other Providers at the Same Location NPPES 4

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

JEFFREY WILLIAM MAENDEL
Surgery
100 W MCCREIGHT AVE STE 110
SPRINGFIELD, OH 45504
Clark County (937) 717-4884
DANIEL CALEB PERSINGER MD
Surgery
100 W MCCREIGHT AVE STE 110
SPRINGFIELD, OH 45504
Clark County (937) 717-4884
KARA RIVERS CNP
Nurse Practitioner (Gerontology)
100 W MCCREIGHT AVE STE 110
SPRINGFIELD, OH 45504
Clark County (937) 523-9940
JANEL M JONES PA-C
Physician Assistant
100 W MCCREIGHT AVE STE 110
SPRINGFIELD, OH 45504
Clark County (937) 717-4884

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 Pamela Raines's NPI number?

The NPI number for Pamela Raines is 1699382580. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Pamela Raines located?

Pamela Raines practices at 100 W Mccreight Ave Ste 110, Springfield, OH 45504. The listed phone number is (937) 523-9940.

What is Pamela Raines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Pamela Raines enrolled in Medicare?

Yes. Pamela Raines 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 Pamela Raines accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Pamela Raines 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 Pamela Raines affiliated with any hospitals?

According to CMS data, Pamela Raines is affiliated with Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Pamela Raines was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.