Individual provider Active NPI

Archelle Johnson, AG-PNP

  • Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1003569898
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024183604 Issued in VA
Practice address
101 Buford Rd Ste B111
North Chesterfield, VA 23235-5292
Phone
(804) 878-0942
Fax
(888) 556-8809
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024183604 VA Primary

Addresses

Primary practice location

101 Buford Rd Ste B111
North Chesterfield, VA 23235-5292

Mailing address

3712 Sunora Dr
Richmond, VA 23234-1438
Phone (804) 878-0942

Other practice location 1

7229 Forest Ave.
Ste 111 Highland II Bldg
Richmond, VA 23226
Phone (804) 687-4793

Other practice location 2

3712 Sunora Dr
Richmond, VA 23234-1438
Phone (804) 502-9380

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
I20220606001726 VA Practitioner - Nurse Practitioner 5799967014 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Internal Medicine Inc CurrentSince Oct 3, 2025 Accepting new patients
New Generation Healthcare Providers CurrentSince Jul 9, 2025 Accepting new patients
Transformation Health Services LLC CurrentSince Aug 1, 2024 Accepting new patients
Vpa PC CurrentSince May 17, 2023 Accepting new patients
Vpa PC CurrentSince May 17, 2023 Accepting new patients
M Medical Group, Inc. CurrentSince Dec 1, 2023 Accepting new patients
M Medical Group, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Pai Participant 1 LLC Nurse Practitioner CurrentSince Sep 23, 2025 Accepting new patients
Transformation Health Services LLC Past Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

2344 Riverside Dr
Danville, VA 24540
Phone (434) 791-2884

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

905 Cousins Ave
Hopewell, VA 23860
Phone (804) 458-6325

5615 Seminole Ave
Lynchburg, VA 24502
Phone (434) 239-2657

8500 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 337-9514

101 Buford Rd
Ste B111
North Chesterfield, VA 23235
Phone (804) 878-0942

4403 Forest Hill Ave
Richmond, VA 23225
Phone (804) 231-0231

7229 Forest Ave
Ste 111
Richmond, VA 23226
Phone (804) 687-4793

7246 Forest Hill Ave
Richmond, VA 23225
Phone (513) 302-5590

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

508 S Independence Blvd
Ste 200
Virginia Beach, VA 23452
Phone (757) 490-6463

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1003569898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 SUNORA DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232341438",
            "telephone_number": "804-878-0942",
            "fax_number": "866-556-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BUFORD RD STE B111",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355292",
            "telephone_number": "804-878-0942",
            "fax_number": "888-556-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7229 Forest Ave.",
            "address_2": "Ste 111 Highland II Bldg",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23226",
            "country_code": "US",
            "telephone_number": "804-687-4793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3712 Sunora Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232341438",
            "country_code": "US",
            "telephone_number": "804-502-9380",
            "fax_number": "888-556-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ARCHELLE",
        "credential": "AG-PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024183604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.