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

Raeann Raisor

Individual provider Family Nurse Practitioner · NPI 1245754738

Raeann Raisor is a Nurse Practitioner in Broomfield, Colorado. Qualified in 2017, 9 years ago. Practices with The Little Clinic of Colorado, LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Colorado and Florida.

Years since qualifying
9
Licensed in
CO, FL
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

2355 W 136th Ave
Broomfield, CO 80023-9331
Phone: (303) 658-9827
Fax: (303) 658-9828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0101839-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11010306 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0101204 (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RXN0101204 (CO)

Record details

NPI number1245754738
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address2355 W 136th Ave, Broomfield, CO 80023-9331

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Little Clinic Of Colorado, Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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