Individual provider Active NPI

Kathy Nippers, FNP

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1003329111
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187761 Issued in VA
Practice address
2335 Seminole LN Ste 200
Charlottesville, VA 22901-8303
Phone
(434) 980-6161
Fax
(434) 972-4283
NPI assigned
Nov 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024187761 VA Primary
Registered Nurse 163W00000X 22607 TN
Flight Registered Nurse 163WF0300X 22607 TN
Nurse Practitioner 363L00000X 0030119 OH

Addresses

Primary practice location

2335 Seminole LN Ste 200
Charlottesville, VA 22901-8303

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other names 1

  • Kathy Jean Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220404002690 OH Practitioner - Nurse Practitioner 0840550224 Reassigns benefits to 1 organization
I20231006001999 VA Practitioner - Nurse Practitioner 0840550224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians
Pulmonary Physicians IncGroup PAC ID 2264429117, 11 clinicians

Practice addresses (Care Compare)

2335 Seminole LN
Suite 200
Charlottesville, VA 22901-8303
Phone (434) 295-1000

2600 Tuscarawas St W
Suite 100
Canton, OH 44708-4696
Phone (330) 452-8844

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22607TNMDRegistered Nurse
0030119OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Sep 18, 2023 Accepting new patients
Columbus Radiology Corp PastSince Jun 17, 2024 Accepting new patients
Summit Medical Group, PLLC Family Medicine PastSince Apr 18, 2022 Accepting new patients

Locations

1222 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-1774

2335 Seminole Ln
Ste 200
Charlottesville, VA 22901
Phone (434) 975-7700

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • Direct secure messaging: knippers@landmarkhealth-direct.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1003329111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 SEMINOLE LN STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018303",
            "telephone_number": "434-980-6161",
            "fax_number": "434-972-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIPPERS",
        "first_name": "KATHY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187761",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "22607",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "TN",
            "license": "22607",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0030119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "WILSON",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.