MRS. PAMELA DAWN RAINES APRN
NPI 1699382580
Nurse Practitioner - Gerontology in Springfield, OH
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 and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Pamela Raines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 215 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organization bills Medicare for Pamela Raines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Raines reassigns Medicare benefits to Mercy Health Physicians Springfield Specialty Care LLC (Springfield, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Raines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pamela Raines accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 2 other insurers 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.
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 2 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.
# Mrs. Pamela Dawn Raines, APRN · NPI 1699382580
Gerontology physician in Springfield, Ohio. Individual provider, active in the CMS NPPES registry since September 25, 2020.
## Identity
- **NPI:** 1699382580 (Entity type: Individual)
- **Enumerated:** September 25, 2020
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** APRN.CNP.0027563 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 W MCCREIGHT AVE STE 110, Springfield, OH 45504-1890
- **Phone:** (937) 523-9940 · **Fax:** (937) 523-9935
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Health Physicians Springfield Specialty Care LLC (NPI 1790308104, Springfield, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 10, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1699382580) · Data from the CMS NPPES public registry.