Individual provider Active NPI

Catherine Michelle Carpenter, FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1003517186
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186730 Issued in VA
Practice address
1011 Care Way Ste 200
Fredericksburg, VA 22401-8439
Phone
(855) 739-9953
NPI assigned
Mar 15, 2023
Last updated
Mar 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186730 VA Primary

Addresses

Primary practice location

1011 Care Way Ste 200
Fredericksburg, VA 22401-8439

Mailing address

1011 Care Way Ste 200
Fredericksburg, VA 22401-8439
Phone (855) 739-9953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230509002243 VA Practitioner - Nurse Practitioner 3476919879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oracle Heart and Vascular IncGroup PAC ID 5890926075, 21 clinicians

Practice addresses (Care Compare)

1011 Care Way
Suite 200
Fredericksburg, VA 22401-8439
Phone 85573999535027

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Feb 25, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Feb 25, 2024 Accepting new patients
Oracle Heart & Vascular, Inc. CurrentSince Apr 28, 2023 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1011 Care Way
Ste 200
Fredericksburg, VA 22401
Phone (540) 373-4900

421 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 371-8250

15521 Real Estate Ave
King George, VA 22485
Phone (540) 289-2273

15521 Real Estate Ave
Ste 200
King George, VA 22485
Phone (540) 663-3139

125 Hospital Center Blvd
Ste 200
Stafford, VA 22554
Phone (540) 374-3212

125 Hospital Center Blvd
Ste 329
Stafford, VA 22554
Phone (540) 657-6367

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHEAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHEAD/Endpoint/DFHEAD

Organizations & group practices 3

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

Hospital & facility affiliations 4

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1003517186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 CARE WAY STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018439",
            "telephone_number": "855-739-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CARE WAY STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018439",
            "telephone_number": "855-739-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CATHERINE",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.