Active NPI
Kathy Nippers, FNP
- Family Nurse Practitioner
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024187761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Alliance Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22607 | TN | MD | Registered Nurse |
| 0030119 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Columbus Radiology Corp | Past | Accepting new patients | |
| Summit Medical Group, PLLC | Family Medicine | Past | 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
- 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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Critical Care Medicine (Internal Medicine) Physician
- Canton, OH
- NPI 1134124340
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1669408159
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1699722470
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alliance, OH
- NPI 1942385794
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.