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

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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