Individual provider Active NPI

Rachel Larue Edmeyer, PA-C

  • Physician Assistant
  • Suffolk, VA
National Provider Identifier
1053468074
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008350 Issued in VA
Practice address
1001 Centerbrooke LN Ste 100
Suffolk, VA 23434-8663
Phone
(757) 702-8105
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110008350 VA Primary
Medical Physician Assistant 363AM0700X 10078 MN

Addresses

Primary practice location

1001 Centerbrooke LN Ste 100
Suffolk, VA 23434-8663

Mailing address

2000 Plymouth Rd Ste 250
Minnetonka, MN 55305-2376
Phone (952) 767-2326

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
I20230413002870 VA Practitioner - Physician Assistant 5193897791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

1001 Centerbrooke LN
Suite 100
Suffolk, VA 23434-8663
Phone (757) 702-8105

20209 Sentara Way
Carrollton, VA 23314-3573
Phone (757) 542-1100

4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140

7394 Harbour Towne Pkwy
Suite 5
Suffolk, VA 23435-3473
Phone (757) 702-8116

920 E High St
Suite 102
Charlottesville, VA 22902-4850
Phone (434) 290-1226

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110008350VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Dec 30, 2022 Accepting new patients
Velocity Urgent Care, LLC PastSince Sep 21, 2025 Accepting new patients
Now Medical, Inc Past Accepting new patients

Locations

1001 Centerbrooke Ln
Ste 100
Suffolk, VA 23434
Phone (757) 702-8105

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1053468074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PLYMOUTH RD STE 250",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052376",
            "telephone_number": "952-767-2326",
            "fax_number": "952-593-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CENTERBROOKE LN STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348663",
            "telephone_number": "757-702-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMEYER",
        "first_name": "RACHEL",
        "middle_name": "LARUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008350",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.