Individual provider Active NPI

Melissa Kathryn Holmes, CRNA

  • Certified Registered Nurse Anesthetist
  • Farmville, VA
National Provider Identifier
1083689087
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024167370 Issued in VA
Practice address
800 Oak St
Farmville, VA 23901-1199
Phone
(804) 517-0500
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9214709 FL
Certified Registered Nurse Anesthetist 367500000X 0024167370 VA Primary

Addresses

Primary practice location

800 Oak St
Farmville, VA 23901-1199

Mailing address

8800 Sierra Rd
Richmond, VA 23229-7827
Phone (804) 517-0500

Other identifiers 1

IdentifierTypeStateIssuer
306894300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 1245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000208 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901847748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Virginia Commonwealth University, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

800 Oak St
Farmville, VA 23901-1199
Phone (434) 315-2930

Hospital & facility affiliations

  • Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9214709FLMDCertified Registered Nurse Anesthetist
0024167370VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Colon and Rectal Specialists LTD CurrentSince Jan 1, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince May 15, 2017 Accepting new patients
Gastrointestinal Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Hanover Anesthesia Group,Inc Past Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

800 Oak St
Farmville, VA 23901
Phone (434) 315-2530

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

7504 Right Flank Rd
Mechanicsvlle, VA 23116
Phone (804) 559-3400

201 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 289-1131

215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973

7605 Forest Ave
Ste 308
Richmond, VA 23229
Phone (804) 288-7077

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1083689087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SIERRA RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232297827",
            "telephone_number": "804-517-0500",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011199",
            "telephone_number": "804-517-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MELISSA",
        "middle_name": "KATHRYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9214709",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024167370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306894300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1245",
            "affiliation": "N",
            "address_1": "800 Oak St",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239011199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.