Individual provider Active NPI

Brittany Stroud Ptachick, FNP

  • Family Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1053866707
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173778 Issued in VA
Practice address
1313 Jamestown Rd Ste 101
Williamsburg, VA 23185-3362
Phone
(757) 585-4162
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 0024173778 VA Primary

Addresses

Primary practice location

1313 Jamestown Rd Ste 101
Williamsburg, VA 23185-3362

Mailing address

1313 Jamestown Rd Ste 101
Williamsburg, VA 23185-3362
Phone (757) 585-4162

Other practice location 1

5408 Discovery Park Blvd Ste 300
Williamsburg, VA 23188-2893
Phone (757) 253-8722

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
I20161214000681 VA Practitioner - Nurse Practitioner 9830479633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Roads Otolaryngology Associates PLLCGroup PAC ID 7012820848, 21 clinicians

Practice addresses (Care Compare)

5408 Discovery Park Blvd
Suite 300
Williamsburg, VA 23188-2893
Phone (757) 825-2500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Otolaryngology Associates PLLC CurrentSince Dec 1, 2022 Accepting new patients
Colonial Aesthetics & Wellness Family CurrentSince Oct 20, 2024 Accepting new patients
Sentara Medical Group CurrentSince Oct 8, 2016 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC PastSince Dec 1, 2022 Accepting new patients
Sentara Hospitals Past Accepting new patients

Locations

5659 Parkway Dr
Ste 240
Gloucester, VA 23061
Phone (757) 825-2500

5659 Parkway Dr
Ste 130
Gloucester, VA 23061
Phone (757) 873-0338

901 Enterprise Pkwy
Ste 300
Hampton, VA 23666
Phone (757) 825-2500

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

4374 New Town Ave
Ste 200
Williamsburg, VA 23188
Phone (757) 220-2795

5408 Discovery Park Blvd
Ste 300
Williamsburg, VA 23188
Phone (757) 253-8722

1313 Jamestown Rd
Ste 101
Williamsburg, VA 23185
Phone (757) 585-4162

Interoperability endpoints

  • Direct secure messaging: bptachick@hamptonroadsent.emadirect.md

Organizations & group practices 5

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1053866707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 JAMESTOWN RD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853362",
            "telephone_number": "757-585-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 JAMESTOWN RD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853362",
            "telephone_number": "757-585-4162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5408 Discovery Park Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882893",
            "country_code": "US",
            "telephone_number": "757-253-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PTACHICK",
        "first_name": "BRITTANY",
        "middle_name": "STROUD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.