Individual provider Active NPI

Nicole Brenneman Lepsch, FNP

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1023275146
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164583 Issued in VA
Practice address
595 Martha Jefferson Dr Ste 280
Charlottesville, VA 22911
Phone
(434) 654-8920
Fax
(434) 654-8921
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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 0024164583 VA Primary

Addresses

Primary practice location

595 Martha Jefferson Dr Ste 280
Charlottesville, VA 22911

Mailing address

PO Box 79777
Baltimore, MD 21279-0777
Phone (434) 654-7794

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
I20120427000035 VA Practitioner - Nurse Practitioner 0941462568 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024164583VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC CurrentSince Apr 1, 2012 Accepting new patients
University of Virginia Physicians Group Past Accepting new patients
Martha Jefferson Hospital Past Accepting new patients
Commonwealth Orthopedic Specialist Past Accepting new patients

Locations

595 Martha Jefferson Dr
Ste 280
Charlottesville, VA 22911
Phone (434) 654-8920

595 Martha Jefferson Dr
#280
Charlottesville, VA 22911

600 Peter Jefferson Pkwy
Ste 270
Charlottesvle, VA 22911
Phone (434) 654-8920

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1023275146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79777",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790777",
            "telephone_number": "434-654-7794",
            "fax_number": "434-654-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MARTHA JEFFERSON DR STE 280",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22911",
            "telephone_number": "434-654-8920",
            "fax_number": "434-654-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPSCH",
        "first_name": "NICOLE",
        "middle_name": "BRENNEMAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.