Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Raeanne Hunter Fondriest, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1194105692

Mrs. Raeanne Hunter Fondriest, AG-ACNP is a Nurse Practitioner in Beavercreek, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2015, 11 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone: (937) 702-4024
Fax: (937) 702-4035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2400 Miami Valley Dr, Centerville, OH 45459-4774 — (937) 208-8394
  • 2222 Philadelphia Dr, Dayton, OH 45406-1813 — (937) 734-3516

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence COA.17372-NP (OH)

Record details

NPI number1194105692
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorYes
NPI enumeratedJune 1, 2015
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beavercreek