KENNETH B RAINEY A.P.R.N.
NPI 1801544184
Nurse Practitioner in Jackson, TN

Active since March 15, 2022PECOS EnrolledAccepts Medicare Assignment
92.69/100
CMS Quality Rating
2863 HIGHWAY 45 BYP, JACKSON, TN 38305(731) 422-0213(731) 256-7664 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth B Rainey A.p.r.n. NPPES

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

KENNETH B RAINEY A.P.R.N. (NPI 1801544184) is an individual nurse practitioner in Jackson, Tennessee, licensed in Tennessee (30941) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1801544184
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKENNETH B RAINEYCredential: A.P.R.N.
Location Address2863 HIGHWAY 45 BYPJackson, TN 38305-3618
Mailing AddressPo Box 400Jackson, TN 38302-0400 · (731) 425-5752 · Fax (731) 425-5783
Fax(731) 256-7664
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 15, 2022
Last NPPES UpdateOctober 25, 2023
NPPES CertifiedMarch 15, 2022
NPI 1801544184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TN · 30941
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.
2863 HIGHWAY 45 BYP, Jackson, TN 38305

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

Kenneth B Rainey A.p.r.n. 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 ID9739575846
PECOS Enrollment IDI20220329001576
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 20

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.
860 services602 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
719 services514 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
708 services499 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
585 services445 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
166 services140 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
133 services115 patients

Hospital Affiliations CMS Care Compare

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.39
Promoting Interoperability100
Improvement Activities40

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 Practitioner (Family)
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Pediatrics
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Family Medicine
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Nurse Practitioner (Family)
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Psychologist (Clinical Child & Adolescent)
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Family Medicine
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Pediatrics
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Internal Medicine
2863 HIGHWAY 45 BYP
JACKSON, TN 38305

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 Kenneth Rainey's NPI number?

The NPI number for Kenneth Rainey is 1801544184. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Kenneth Rainey located?

Kenneth Rainey practices at 2863 Highway 45 Byp, Jackson, TN 38305. The listed phone number is (731) 422-0213.

What is Kenneth Rainey's specialty?

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

Is Kenneth Rainey enrolled in Medicare?

Yes. Kenneth Rainey 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 Kenneth Rainey accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Kenneth Rainey 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 Kenneth Rainey affiliated with any hospitals?

According to CMS data, Kenneth Rainey is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Rainey was last updated on October 25, 2023. 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.