Taneesa Raynee Boreman, MSN, APRN, FNP-C
Nurse Practitioner in Medina, OH. Individual provider (NPI-1).
NPI number1295606242
StatusActive
Last updated in NPPESAug 14, 2026
Details
- NPI
- 1295606242
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Taneesa Raynee Boreman
- Credential
- MSN, APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2025
- Certification date
- Aug 14, 2026
- Last updated
- Aug 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0037503 | OH | Yes |
Practice location
1000 E Washington StMedina, OH 44256-2170
Phone 330-725-1000
Mailing address
7005 S Edgerton Rd Ste 100Brecksville, OH 44141-4210
Phone 440-630-9430
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All 15 Nurse Practitioner providers in Medina · All 2,026 providers in Medina
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