KRISTINE MARIE RAYNARD (CNM) – Midwife, NPI 1790263978

KRISTINE MARIE RAYNARD (CNM) is a healthcare provider. based in Duluth, Georgia. specializing in Midwife. They hold the professional credentials CNM. The NPI Number for KRISTINE MARIE RAYNARD (CNM) is 1790263978

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE MARIE RAYNARD (CNM)
NPI
1790263978
Phone
(770) 596-7193
Address
3330 ENNFIELD LN
Enumeration Date
31 July 2018
Last Update Date
31 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709494188
Graduation Year
2017 (9 years ago)
PAC ID
6103178843
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20181009000683
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for KRISTINE MARIE RAYNARD (CNM)

  • 3330, Ennfield Way Northwest, Forest Manor North, Duluth, Gwinnett County, Georgia, 30096, United States

    DULUTH, GA 300967727

    Phone: (770) 596-7193

    Type: Mailing

  • Professional Parkway, Anneewakee Heights, Douglasville, Douglas County, Georgia, United States

    DOUGLASVILLE, GA 301345611

    Phone: (770) 949-4188

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Organon LLC ($86).

Total Amount

$86

General + Research + Ownership

Payments

1

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$86
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: 2018-10-09

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
I20181009000683ICertified Nurse Midwife (Cnm)GATBD

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 30096)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm KRISTINE MARIE RAYNARD (CNM)'s NPI?
Yes. KRISTINE MARIE RAYNARD (CNM) is listed with NPI 1790263978 in the public NPI dataset.
Is KRISTINE MARIE RAYNARD (CNM) still practicing?
KRISTINE MARIE RAYNARD (CNM) is currently listed as active in the public NPI registry.
What is KRISTINE MARIE RAYNARD (CNM)'s primary classification?
Midwife is the headline specialty for KRISTINE MARIE RAYNARD (CNM) here. Clinical services aligned with this taxonomy classification.
Where is KRISTINE MARIE RAYNARD (CNM) based?
KRISTINE MARIE RAYNARD (CNM) is tied to Duluth, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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