MRS. RAEANNE HUNTER FONDRIEST (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1194105692
Acute Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for MRS. RAEANNE HUNTER FONDRIEST (AG-ACNP)
3170 KETTERING BLVD
BUILDING B, 3RD FLOOR
MORAINE, OH 454391924
Phone: (937) 991-3188
Fax: (937) 223-9811
Type: Mailing
2400 MIAMI VALLEY DR
CENTERVILLE, OH 454594774
Phone: (937) 208-8394
Fax: (937) 208-8388
Type: Location
2222 Philadelphia Dr
Dayton, OH 454061813
Phone: (937) 734-3516
Type: Location
2400 Miami Valley Dr
Centerville, OH 454594774
Phone: (937) 208-8394
Fax: (937) 208-8388
Type: Location
3535 PENTAGON BLVD
BEAVERCREEK, OH 454311705
Phone: (937) 702-4024
Fax: (937) 702-4035
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Shionogi Inc ($50).
Total Amount
$142
General + Research + Ownership
Payments
6
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shionogi Inc | $50 |
| United Therapeutics Corporation | $45 |
| Regeneron Healthcare Solutions, Inc. | $33 |
| Mylan Specialty L.P. | $14 |
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: 2017-08-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170809001192 | I | Nurse Practitioner | OH | TBD |
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.
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 45439)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Thoracic Surgery | PA | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.