VICKY L RAISOR (APRN) – Nurse Practitioner, NPI 1194181289

VICKY L RAISOR (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3009998 (KY). The NPI Number for VICKY L RAISOR (APRN) is 1194181289

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
VICKY L RAISOR (APRN)
NPI
1194181289
Phone
(502) 456-0494
Address
4200 GARDINER VIEW AVE STE 101
Enumeration Date
6 January 2016
Last Update Date
6 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5024560494
Graduation Year
2015 (11 years ago)
PAC ID
9335441096
Group Practice PAC ID
6103954847
Professional Enrollment ID
I20160112002322
Address ID
KY402182672LO2202XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for VICKY L RAISOR (APRN)

  • 4200 GARDINER VIEW AVE STE 101

    LOUISVILLE, KY 402131877

    Phone: (502) 456-0494

    Fax: (502) 456-0496

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $246.

Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($246).

Total Amount

$246

General + Research + Ownership

Payments

10

Total payment records

General Amount

$246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2016-01-12

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
I20160112002322INurse PractitionerKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,978130$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes452130$0
99316Nursing facility discharge management, more than 30 minutes3535$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1414$0
View full utilization report →

Insurance plans in this area (ZIP 40213)

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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: 6103954847View full group profile
NameSpecialtyState
Nurse PractitionerTN
-IN
Nurse PractitionerAR
-KY
-KY
Geriatric Medicine, Family Practice, Family Practice, Geriatric MedicineKY
-KY
Nurse PractitionerKY
Nurse PractitionerIL
Nurse PractitionerKY

Reviews

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Frequently asked questions

Is there an official ID for VICKY L RAISOR (APRN) in U.S. healthcare records?
The official identifier for VICKY L RAISOR (APRN) is NPI 1194181289.
Is VICKY L RAISOR (APRN) shown as active in public data?
Registry records indicate VICKY L RAISOR (APRN) maintains an active NPI.
What kind of doctor is VICKY L RAISOR (APRN)?
VICKY L RAISOR (APRN) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for VICKY L RAISOR (APRN)?
Travel planning: use Louisville, Kentucky as the reference point for VICKY L RAISOR (APRN), then confirm.
When was this NPI issued?
Enumeration for VICKY L RAISOR (APRN) is noted as January 6, 2016 where the registry provides it.

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