REYNA ELISA NINER MD
NPI 1811519952
Family Medicine in Carthage, TN
About Reyna Elisa Niner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REYNA ELISA NINER MD (NPI 1811519952) is an individual family medicine provider in Carthage, Tennessee, licensed in Tennessee (69304) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and maintains a secondary practice location in Franklin.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Reyna Elisa Niner Md 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sumner Regional Medical Center
Acute Care Hospitals · Gallatin, TNTrousdale Medical Center
Critical Access Hospitals · Hartsville, TNHighpoint Health-Riverview With Ascension Saint Th
Critical Access Hospitals · Carthage, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARTHAGE, TN 37030
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 Reyna Niner's NPI number?
The NPI number for Reyna Niner is 1811519952. It was assigned to this individual provider in the NPPES registry on May 12, 2020.
Where is Reyna Niner located?
Reyna Niner practices at 133 Hospital Dr Ste 500, Carthage, TN 37030. The listed phone number is (615) 735-0700.
What is Reyna Niner's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Reyna Niner enrolled in Medicare?
Yes. Reyna Niner 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 Reyna Niner accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Reyna Niner 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 Reyna Niner affiliated with any hospitals?
According to CMS data, Reyna Niner is affiliated with Sumner Regional Medical Center, Trousdale Medical Center and Highpoint Health-Riverview With Ascension Saint Th.
When was this NPI record last updated?
The NPPES record for Reyna Niner was last updated on January 2, 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.
# Reyna Elisa Niner, MD · NPI 1811519952
Family Medicine physician in Carthage, Tennessee. Individual provider, active in the CMS NPPES registry since May 12, 2020.
## Identity
- **NPI:** 1811519952 (Entity type: Individual)
- **Enumerated:** May 12, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 69304 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 133 HOSPITAL DR STE 500, Carthage, TN 37030-4020
- **Phone:** (615) 735-0700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** January 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811519952) · Data from the CMS NPPES public registry.