Individual provider Active NPI

Monica D Broadnax, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1043509508
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169105 Issued in VA
Practice address
1250 E Marshall St
Internal Medicine
Richmond, VA 23298-5051
Phone
(804) 828-4624
Fax
(804) 828-3983
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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 0024169105 VA Primary

Addresses

Primary practice location

1250 E Marshall St
Internal Medicine
Richmond, VA 23298-5051

Mailing address

PO B0X 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

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
I20140815002199 VA Practitioner - Nurse Practitioner 8022234558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achilles Foot Ankle Center IncGroup PAC ID 8527139666, 7 clinicians

Practice addresses (Care Compare)

7301 Forest Ave
Suite 310
Richmond, VA 23226-3792
Phone (804) 273-1717

7493 Right Flank Rd
Suite 420
Mechanicsville, VA 23116-3846
Phone (804) 237-1717

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Jan 13, 2018 Accepting new patients
Achilles Foot Ankle Center Inc CurrentSince Jul 15, 2024 Accepting new patients
Henrico Doctors Neurology Associates LLC Past Accepting new patients
Achilles Foot and Ankle Health Group Inc PastSince Dec 10, 2023 Accepting new patients

Locations

3974 Springfield Rd
#B
Glen Allen, VA 23060

7493 Right Flank Rd
Ste 420
Mechanicsvlle, VA 23116
Phone (804) 237-1717

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

2104 W Laburnum Ave
Richmond, VA 23227
Phone (804) 354-8107

7301 Forest Ave
Ste 301
Richmond, VA 23226

1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

Interoperability endpoints

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

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1043509508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO B0X 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "address_2": "INTERNAL MEDICINE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-828-4624",
            "fax_number": "804-828-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADNAX",
        "first_name": "MONICA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.