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

Raenell J Poynter, APRNCNP

Individual provider Nurse Practitioner · NPI 1396812467

Raenell J Poynter, APRNCNP is a Nurse Practitioner in Centerville, Ohio. Qualified in 1996, 30 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
30
Licensed in
OH
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

7756 Washington Village Dr Ste 135
Centerville, OH 45459-3999
Phone: (937) 425-4137
Fax: (937) 425-4139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2510 Commons Blvd, Beavercreek, OH 45431-3820 — (937) 490-0123
  • 3700 Southern Blvd Ste 201, Kettering, OH 45429-1265 — (855) 500-2873

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 03408-NP (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence RN241822 (OH)

Record details

NPI number1396812467
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Centerville