NPIMap

Individual provider Active NPI

Rachel Quinn Petrohovich, PA-C

  • Physician Assistant
  • Richmond, VA
National Provider Identifier
1093216020
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006068 Issued in VA
Practice address
7607 Forest Ave Ste 220
Richmond, VA 23229-4913
Phone
(804) 285-9416
NPI assigned
Feb 25, 2018
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006068 VA Primary

Addresses

Primary practice location

7607 Forest Ave Ste 220
Richmond, VA 23229-4913

Mailing address

7607 Forest Ave Ste 220
Richmond, VA 23229-4913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113000783 VA Practitioner - Physician Assistant 3476807389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5875 Bremo Rd
Suite 209
Richmond, VA 23226-1934
Phone (804) 287-7804

5875 Bremo Rd
Suite 712
Richmond, VA 23226-1928
Phone (804) 288-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110006068VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Jul 30, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Jul 30, 2023 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Past Accepting new patients

Locations

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

5875 Bremo Rd
Ste G7
Richmond, VA 23226
Phone (804) 288-8900

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1093216020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 FOREST AVE STE 220",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 FOREST AVE STE 220",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294913",
            "telephone_number": "804-285-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROHOVICH",
        "first_name": "RACHEL",
        "middle_name": "QUINN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.