Doctor profile · Federal record
Dr. Raeanne Fondriest, Ag-ACNP
Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Beavercreek, OH
- NPI 1194105692
- Accepts Medicare
- MIPS 76.8 / 100 · 2023
- 11 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
3535 Pentagon Blvd
Beavercreek, OH 454311705
(937) 702-4024
fax (937) 702-4035 - Additional location
-
2222 Philadelphia Dr
Dayton, OH 454061813
(937) 734-3516 - Additional location
-
2400 Miami Valley Dr
Centerville, OH 454594774
(937) 208-8394
fax (937) 208-8388
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Profile last updated
- January 14, 2021
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363LA2100X — NUCC code
- State license (1)
- Ohio #COA.17372-NP
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194105692. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$45
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| United Therapeutics Corporation | 2 | $44.93 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Raeanne Fondriest's medical specialty?
Dr. Raeanne Fondriest practices Acute Care Nurse Practitioner in Beavercreek, OH.
Where does Dr. Raeanne Fondriest practice?
Dr. Raeanne Fondriest practices at 3535 Pentagon Blvd, Beavercreek, OH 454311705. Office phone: 9377024024.
What is Dr. Raeanne Fondriest's NPI?
Dr. Raeanne Fondriest's National Provider Identifier (NPI) is 1194105692, issued by NPPES.
Does Dr. Raeanne Fondriest accept Medicare assignment?
Yes. Dr. Raeanne Fondriest accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.