Raeanne Fondriest, AG-ACNP
NPI 1194105692 · Acute Care Nurse Practitioner · Beavercreek, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raeanne Fondriest, AG-ACNP is a Acute Care Nurse Practitioner provider in Beavercreek, OH (NPI 1194105692).
Provider details
- NPI number
- 1194105692
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- COA.17372-NP (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
11 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$45 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 2400 Miami Valley DrCenterville, OH 45459-4774Phone: (937) 208-8394Fax: (937) 208-8388
- 2222 Philadelphia DrDayton, OH 45406-1813Phone: (937) 734-3516
Registry dates
- Enumerated
- 2015-06-01
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Frequently asked questions
- What is Raeanne Fondriest's NPI number?
- Raeanne Fondriest's National Provider Identifier (NPI) is 1194105692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raeanne Fondriest's specialty?
- Raeanne Fondriest is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Raeanne Fondriest located?
- Raeanne Fondriest's practice location on file with NPPES is 3535 Pentagon Blvd, Beavercreek, OH 45431-1705.
- What is Raeanne Fondriest's phone number?
- The practice phone number listed in the NPPES registry for Raeanne Fondriest is (937) 702-4024.
- Does Raeanne Fondriest accept Medicare?
- Raeanne Fondriest is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raeanne Fondriest's NPI active?
- Yes — Raeanne Fondriest's NPI (1194105692) is active in the NPPES registry as of the last update on 2021-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.