NPIMap

Organization Active NPI

Stafford Hospital, LLC

Doing business as Stafford Hospital

  • General Acute Care Hospital
  • Stafford, VA
National Provider Identifier
1043343304
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
STAFFORD HOSPITAL, LLC
Doing business as
Stafford Hospital
Practice address
101 Hospital Center Blvd
Stafford, VA 22554-6200
Phone
(540) 741-1821
NPI assigned
Mar 14, 2007
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Christopher D Newman
Title
Ceo
Phone
(540) 741-3248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

101 Hospital Center Blvd
Stafford, VA 22554-6200

Mailing address

1340 Central Park Blvd Ste 207
Fredericksburg, VA 22401-4941
Phone (540) 741-1821

Other identifiers 7

IdentifierTypeStateIssuer
364695OtherVAANTHEM BC
540519577002OtherVATRICARE
9447838OtherVAAETNA
234771OtherVAUNITED HEALTHCARE HMO, ONENET, MDPIA, OPTIMUM CHOICE
614500700OtherVADEPARTMENT OF LABOR
0564123-038OtherVACIGNA
HG2OtherVACAREFIRST BC

Other names 1

  • Stafford Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080925000195 VA Part A Provider - Hospital 3779650262 Practice locations: Fredericksburg, VA; Stafford, VA
O20131101000347 VA Part B Supplier - Clinic/Group Practice 3779650262 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stafford, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043343304. Details of each certification follow.

Hospital certification: CCN 490140

Legal name
STAFFORD HOSPITAL, LLC
Doing business as
STAFFORD HOSPITAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 18, 2009
Last certification
Feb 11, 2016
Beds
100
Ownership / control type
Private (not for profit)
Organization structure
LLCNon-profit
Enrollment address
101 Hospital Center Blvd
Stafford, VA 22554-6200
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Stafford Hospital, LLCCCN 490140 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

10 Stafford Lakes Pkwy
Ste 100
Fredericksburg, VA 22406
Phone (540) 737-6150

125 Hospital Center Blvd
Ste 129
Stafford, VA 22554
Phone (540) 741-9647

125 Hospital Center Blvd
Ste 217
Stafford, VA 22554
Phone (540) 741-7900

955 Wonder Rd
#B
Stafford, VA 22554
Phone (540) 741-7891

12731 Marblestone Dr
#102
Woodbridge, VA 22192
Phone (540) 741-9033

14010 Smoketown Rd
#300
Woodbridge, VA 22192
Phone (540) 419-2685

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martin Wilder Individual Corporate Director Jan 1, 2015
Kimberly Young Individual Corporate Director Jan 1, 2023
Chetan B Pai Individual Corporate DirectorMedical Staff President Jan 1, 2023
Reggie Pearson Individual Corporate DirectorSenior Vice President & Choo Jan 1, 2025
W-2 Managing EmployeeAd; Jan 1, 2025
William McDaniel Individual Corporate Director Jan 1, 2022
Summer Hughes Individual Corporate DirectorExecutive Vice President & Coo Dec 16, 2024
Sarah Ogle Individual Corporate OfficerAvp, Revenue Cycle & Payor Relation May 3, 2020
Bruce Davis Individual Corporate Director Jan 1, 2019
Christopher D Newman Individual Corporate OfficerPresident and Ceo Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Lauren Blalock Individual Corporate OfficerCompliance Officer Jan 1, 2015
Alda White Individual Corporate DirectorBoard Member Jan 1, 2025
Dermaine Lewis Individual Corporate Director Jan 1, 2019
Medicorp Health System Organization, Fredericksburg, VA Non-profit 5% Or Greater Direct Ownership Interest Jan 21, 2010 100%
Operational/Managerial Control Jan 21, 2010 100%
Catherine Wack Individual Corporate Director Jan 1, 2019
Christopher W Lewis Individual Corporate DirectorSenior Vice President & Cmo May 19, 2025
Margaret Hardy Individual Corporate Director Jan 1, 2020
Agostino Visioni Individual Corporate DirectorBoard Member Jan 1, 2025
Nicholas Cadwallender Individual Corporate DirectorBoard Member Jan 1, 2025
Howard Owen Individual Corporate Director Jan 1, 2023
Thomas Mathews Individual Corporate OfficerEvp and Chief Financial Officer Jul 14, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

Affiliated clinicians 545

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 545

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1043343304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014941",
            "telephone_number": "540-741-1821",
            "fax_number": "540-741-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL CENTER BLVD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546200",
            "telephone_number": "540-741-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-741-3248"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "364695",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "540519577002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9447838",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE HMO, ONENET, MDPIA, OPTIMUM CHOICE",
            "identifier": "234771",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "614500700",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0564123-038",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC",
            "identifier": "HG2",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stafford Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stafford Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.