Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christina Lynn Raynor

Individual provider Registered Nurse · NPI 1659086387

Christina Lynn Raynor is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2023, 3 years ago. Practices with Dermatology Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

10465 E County Road 100 N
Indianapolis, IN 46234-1243
Phone: (757) 754-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71014024A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28251685A (IN)

Record details

NPI number1659086387
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2023
Last updated in NPPESOctober 29, 2023
Certification dateOctober 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dermatology Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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