Individual provider Active NPI

Angela Copp Athar, NP

  • Family Nurse Practitioner
  • Orange, VA
National Provider Identifier
1033248265
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167824 Issued in VA
Practice address
13198 James Madison Hwy
Orange, VA 22960-2808
Phone
(540) 672-3010
NPI assigned
Mar 5, 2007
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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 0024167824 VA Primary

Addresses

Primary practice location

13198 James Madison Hwy
Orange, VA 22960-2808

Mailing address

13198 James Madison Hwy
Orange, VA 22960-2808
Phone (540) 672-3010

Other practice location 1

15237 Creativity Dr
Culpeper, VA 22701-2504
Phone (540) 321-4281

Other practice location 2

2503 S Seminole Trl
Madison, VA 22727-2690
Phone (540) 948-6871

Other practice location 3

541 Sunset Ln Ste 301
Culpeper, VA 22701-3979
Phone (540) 825-4557

Other identifiers 1

IdentifierTypeStateIssuer
1033248265MedicaidVA

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
I20080902000547 VA Practitioner - Nurse Practitioner 3577669415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

15237 Creativity Dr
Culpeper, VA 22701-2504
Phone (540) 321-4281

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 4, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 4, 2020 Accepting new patients
Culpeper Medical Associates, LLC Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

15237 Creativity Dr
Culpeper, VA 22701
Phone (540) 321-4281

541 Sunset Ln
Ste 301
Culpeper, VA 22701
Phone (540) 825-4557

2503 S Seminole Trl
Madison, VA 22727
Phone (540) 672-3010

8644 Sudley Rd
#220
Manassas, VA 20110

13198 James Madison Hwy
Orange, VA 22960
Phone (540) 672-3010

Interoperability endpoints

  • Direct secure messaging: angela.athar.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1033248265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13198 JAMES MADISON HWY",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229602808",
            "telephone_number": "540-672-3010",
            "fax_number": "540-321-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13198 JAMES MADISON HWY",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229602808",
            "telephone_number": "540-672-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15237 Creativity Dr",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227012504",
            "country_code": "US",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2503 S Seminole Trl",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "VA",
            "postal_code": "227272690",
            "country_code": "US",
            "telephone_number": "540-948-6871",
            "fax_number": "540-948-6601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 Sunset Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013979",
            "country_code": "US",
            "telephone_number": "540-825-4557",
            "fax_number": "540-825-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATHAR",
        "first_name": "ANGELA",
        "middle_name": "COPP",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033248265",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, VA

Sources for this page

Verify at the official NPI Registry.