Individual provider Active NPI

Angie Marie Burt, N.P.

  • Family Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1093895518
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165010 Issued in VA
Practice address
9 Center Street
Suite 101
Stafford, VA 22556
Phone
(540) 288-2222
Fax
(703) 858-3529
NPI assigned
Oct 17, 2006
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 0024165010 VA Primary

Addresses

Primary practice location

9 Center Street
Suite 101
Stafford, VA 22556

Mailing address

15 Skyline Dr
Fredericksburg, VA 22406
Phone (540) 848-6654

Other names 1

  • Ms. Angie Marie Page Former name

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
I20230331002263 VA Practitioner - Nurse Practitioner 2365817525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1708 Fall Hill Ave
Suite 100
Fredericksburg, VA 22401-3511
Phone (540) 371-1226

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat and Facial Plastic Surgery Center of Frederick CurrentSince Jul 22, 2024 Accepting new patients
Embrey Mill Primary and Urgent Care LLC PastSince Oct 16, 2022 Accepting new patients

Locations

1708 Fall Hill Ave
Ste 100
Fredericksburg, VA 22401
Phone (540) 371-1226

282 Choptank Rd
Ste 107
Stafford, VA 22556
Phone (540) 371-1263

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.

Hospital & facility affiliations 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1093895518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SKYLINE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22406",
            "telephone_number": "540-848-6654",
            "fax_number": "703-858-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CENTER STREET",
            "address_2": "SUITE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22556",
            "telephone_number": "540-288-2222",
            "fax_number": "703-858-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "ANGIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "PAGE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.