Individual provider Active NPI

Nancy T Hargis, NP

  • Family Nurse Practitioner
  • Eastville, VA
National Provider Identifier
1063528990
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166863 Issued in VA
Practice address
17068 Lankford Highway
Eastville, VA 23347
Phone
(757) 331-1086
Fax
(757) 442-9505
NPI assigned
Aug 22, 2006
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024166863 VA Primary
Emergency Medicine Physician 207P00000X 0024166863 VA

Addresses

Primary practice location

17068 Lankford Highway
Eastville, VA 23347

Mailing address

20280 Market St
Onancock, VA 23417-1331
Phone (757) 414-0400

Other identifiers 1

IdentifierTypeStateIssuer
P00380648OtherVARAILROAD MEDICARE

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
I20070109000056 VA Practitioner - Nurse Practitioner 5294735650 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024166863VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metabolic Syndrome Insulin Infusion - Onley LLC CurrentSince Jan 11, 2025 Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients

Organizations & group practices 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1063528990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17068 LANKFORD HIGHWAY",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "23347",
            "telephone_number": "757-331-1086",
            "fax_number": "757-442-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGIS",
        "first_name": "NANCY",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166863",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0024166863",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00380648",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastville, VA

Sources for this page

Verify at the official NPI Registry.