RAYNA ELICE MIKE – Adult Health Nurse Practitioner, NPI 1255944609

RAYNA ELICE MIKE is a healthcare provider. based in Longwood, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11008868 (FL). The NPI Number for RAYNA ELICE MIKE is 1255944609

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
RAYNA ELICE MIKE
NPI
1255944609
Phone
Not provided
Address
716 FOX VALLEY DR
Enumeration Date
26 August 2020
Last Update Date
7 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073487388
Graduation Year
2020 (6 years ago)
PAC ID
8022489137
Group Practice PAC ID
2365467867
Professional Enrollment ID
I20230128000442
Address ID
FL328253710OR100XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for RAYNA ELICE MIKE

  • 716 FOX VALLEY DR

    LONGWOOD, FL 327792508

    Phone:

    Type: Mailing

  • 9400 TURKEY LAKE RD

    ORLANDO, FL 328198001

    Phone: (321) 842-8505

    Fax: (321) 843-5550

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $261.

Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.

Last reported payment date: 2024-03-16 • Largest payer in this snapshot: ABBVIE INC. ($123).

Total Amount

$261

General + Research + Ownership

Payments

4

Total payment records

General Amount

$261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230128000442INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32779)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365467867View full group profile
NameSpecialtyState
Nurse PractitionerFL
Gastroenterology, Internal MedicineFL
G A S T R O E N T E R O L O G YAR
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

What unique ID ties claims to RAYNA ELICE MIKE?
NPI 1255944609 is assigned to RAYNA ELICE MIKE under the national enumeration system.
Does this profile mean RAYNA ELICE MIKE is currently active?
Yes — RAYNA ELICE MIKE appears active in the national provider directory.
Does RAYNA ELICE MIKE list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for RAYNA ELICE MIKE. Clinical services aligned with this taxonomy classification.
What location metadata exists for RAYNA ELICE MIKE?
The page summarizes Longwood, Florida for RAYNA ELICE MIKE; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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