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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE RALEIGH NP
NPI 1902530660
Nurse Practitioner - Family in Union, KY

Active since July 10, 2022PECOS Enrolled
5032 LOCH DR, UNION, KY 41091(859) 360-4231(859) 212-0308 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Jan 5, 2026, Oct 18, 2022 and 1 more (4 updates tracked since 2022).

About Michelle Raleigh Np NPPES

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

MICHELLE RALEIGH NP (NPI 1902530660) is an individual family provider in Union, Kentucky, licensed in Kentucky (3017464) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Edgewood.

NPPES Registry Identity

NPI1902530660
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE RALEIGHCredential: NP
Location Address5032 LOCH DRUnion, KY 41091-1485
Mailing Address8 Apple Blossom LnAlexandria, KY 41001-1202 · (859) 360-4231
Phone(859) 360-4231
Fax(859) 212-0308
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 10, 2022
Last NPPES UpdateOctober 26, 20264 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1902530660 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 KY · 3017464
5032 LOCH DR, Union, KY 41091
Open in Google Maps ↗

Secondary Practice Location 1

Location 1201 Medical Village DrEdgewood, KY 41017-3407 · Phone (859) 341-2044

Accepted Insurance

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

Michelle Raleigh Np 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 ID8921474586
PECOS Enrollment IDI20221021002568
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Raleigh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tristate Banp, LLC
Same address
Nurse Practitioner
5032 LOCH DR
Union, KY 41091
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group
NPI 1720648850 (859) 640-3627
Signify Health, LLC
797 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
391 services171 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services35 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41091 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

TRISTATE BANP, LLC
Nurse Practitioner
5032 LOCH DR
UNION, KY 41091
Boone County (859) 640-3627

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 Michelle Raleigh's NPI number?

The NPI number for Michelle Raleigh is 1902530660. It was assigned to this individual provider in the NPPES registry on July 10, 2022.

Where is Michelle Raleigh located?

Michelle Raleigh practices at 5032 Loch Dr, Union, KY 41091. The listed phone number is (859) 360-4231.

What is Michelle Raleigh's specialty?

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

Is Michelle Raleigh enrolled in Medicare?

Yes. Michelle Raleigh 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 organizations bill Medicare for Michelle Raleigh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Raleigh reassigns Medicare benefits to 2 organizations: Tristate Banp, LLC (Union, KY) and Signify Health, LLC (Dallas, TX). Each 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 Michelle Raleigh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Raleigh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, CareSource and CareSource (Common Ground Healthcare) list Michelle Raleigh 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 Michelle Raleigh affiliated with any hospitals?

According to CMS data, Michelle Raleigh is affiliated with St Elizabeth Edgewood and University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Michelle Raleigh was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.