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RAYETTA M NEWBERRY FNP, BC
NPI 1922991777
Nurse Practitioner - Family in Cedar Bluff, VA

Active since May 30, 2025PECOS EnrolledAccepts Medicare Assignment
128 GLENWOOD ST, CEDAR BLUFF, VA 24609(276) 596-9181(888) 271-9110 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rayetta M Newberry Fnp, Bc NPPES

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

RAYETTA M NEWBERRY FNP, BC (NPI 1922991777) is an individual family provider in Cedar Bluff, Virginia, licensed in Virginia (0024193193) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Clinch Valley Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922991777
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAYETTA M NEWBERRYCredential: FNP, BC
Location Address128 GLENWOOD STCedar Bluff, VA 24609-9440
Mailing Address128 Glenwood StCedar Bluff, VA 24609-9440 · (276) 596-9181 · Fax (888) 271-9110
Phone(276) 596-9181
Fax(888) 271-9110
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 30, 2025
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1922991777 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 VA · 0024193193
128 GLENWOOD ST, Cedar Bluff, VA 24609
Open in Google Maps ↗

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

Rayetta M Newberry Fnp, Bc 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 ID143722439
PECOS Enrollment IDI20250905003109
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 Reassignment

Medicare enrollment records show Rayetta Newberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Preferred Hospice Inc.
Same address
Hospice and Palliative Medicine
128 GLENWOOD ST
Cedar Bluff, VA 24609
  • Reassigned Medicare billing, Virginia enrollment
  • 8 clinicians in this Medicare group
NPI 1730293614 (276) 596-9181

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Clinch Valley Medical Center

Acute Care Hospitals · Richlands, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490060
Location6801 Governor Gc Perry HighwayRichlands, VA 24641 · Tazewell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24609 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 5

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

ASHLEIGH FRAZIER APRN
Nurse Practitioner (Gerontology)
128 GLENWOOD ST
CEDAR BLUFF, VA 24609
Russell County (276) 596-9181
PREFERRED HOSPICE INC.
Internal Medicine (Hospice and Palliative Medicine)
128 GLENWOOD ST
CEDAR BLUFF, VA 24609
Russell County (276) 596-9181
SARA J ELLIS FNP-C
Nurse Practitioner (Family)
128 GLENWOOD ST
CEDAR BLUFF, VA 24609
Russell County (276) 596-9181
KRISTEN DENISE THOMPSON-WHITT MSN, APRN, FNP
Nurse Practitioner (Family)
128 GLENWOOD ST
CEDAR BLUFF, VA 24609
Russell County (276) 596-9181
MRS. ELIZABETH E SISK MSN, FNP-BC
Nurse Practitioner (Family)
128 GLENWOOD ST
CEDAR BLUFF, VA 24609
Russell County (276) 596-9181

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 Rayetta Newberry's NPI number?

The NPI number for Rayetta Newberry is 1922991777. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Where is Rayetta Newberry located?

Rayetta Newberry practices at 128 Glenwood St, Cedar Bluff, VA 24609. The listed phone number is (276) 596-9181.

What is Rayetta Newberry's specialty?

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

Is Rayetta Newberry enrolled in Medicare?

Yes. Rayetta Newberry 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 Rayetta Newberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rayetta Newberry reassigns Medicare benefits to Preferred Hospice Inc. (Cedar Bluff, VA). 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 Rayetta Newberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rayetta Newberry affiliated with any hospitals?

According to CMS data, Rayetta Newberry is affiliated with Clinch Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Rayetta Newberry was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.