RAYETTA M NEWBERRY (FNP, BC) – Family Nurse Practitioner, NPI 1922991777

Family Nurse Practitioner

RAYETTA M NEWBERRY (FNP, BC) is a healthcare provider. based in Doran, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, BC. They hold a License No. 0024193193 (VA). The NPI Number for RAYETTA M NEWBERRY (FNP, BC) is 1922991777

Main info

Female

3 Years Of Experience

Accepts Medicare Assignment

Name

RAYETTA M NEWBERRY (FNP, BC)

NPI

1922991777

Phone

(276) 202-4344

Address

PO BOX 631

Enumeration Date

30 May 2025

Last Update Date

30 May 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2765969181

Graduation Year

2023 (3 years ago)

PAC ID

0143722439

Group Practice PAC ID

6002884327

Professional Enrollment ID

I20250905003109

Address ID

VA246412303RI1963XSTXX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness75

Years active:1State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for RAYETTA M NEWBERRY (FNP, BC)

PO BOX 631
DORAN, VA 246120631
Phone: (276) 202-4344
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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-05

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

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
I20250905003109	I	Nurse Practitioner	VA	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.

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 24612)

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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: 6002884327View full group profile

Name	Specialty	State
LINDSAY ANNE KEENE (FNP-C)	Nurse Practitioner	VA
ASHLEIGH FRAZIER (APRN)	Nurse Practitioner	VA
SARA J ELLIS (FNP-C)	Nurse Practitioner	VA
KRISTEN DENISE THOMPSON-WHITT (MSN, APRN, FNP)	Nurse Practitioner	VA

Reviews

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Frequently asked questions

What NPI should I save for RAYETTA M NEWBERRY (FNP, BC)?

Save NPI 1922991777 if you need a stable reference for RAYETTA M NEWBERRY (FNP, BC).

Is RAYETTA M NEWBERRY (FNP, BC)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What does RAYETTA M NEWBERRY (FNP, BC) treat or focus on?

Patients typically see RAYETTA M NEWBERRY (FNP, BC) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Does RAYETTA M NEWBERRY (FNP, BC) practice in Virginia?

You will see Doran, Virginia on file for RAYETTA M NEWBERRY (FNP, BC) alongside any extra practice locations.

What if Doran, Virginia seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.