Phyllis Jean Justus, APRN, FNP, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024170560 Issued in VA

Practice address

300 Valley St NE
Abingdon, VA 24210-2912

Phone

(276) 206-8197

Fax

(276) 206-8716

NPI assigned

Jan 11, 2013

Last updated

Apr 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

88.94

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Muhammad R. Javed MD PC

  dba Merit Medical Group

  • Cardiovascular Disease Physician
  • Richlands, VA
  • NPI 1689767832
  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Nurse Practitioner, VA

  Medicare reassignment NPD
• L5 Medical Holdings LLC

  dba Pain Care Center

  • Pain Medicine (Anesthesiology) Physician
  • Madison Heights, VA
  • NPI 1336491877
  NPD (past)
• Hcma Consultants, Inc

  dba Doctors Immedicare

  • Multi-Specialty Clinic/Center
  • Beckley, WV
  • NPI 1932190865
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1104163021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 HORSEPOWER RD",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246147439",
            "telephone_number": "276-202-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VALLEY ST NE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102912",
            "telephone_number": "276-206-8197",
            "fax_number": "276-206-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "PHYLLIS",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phyllis.justus@revidarecovery.com",
            "affiliation": "N",
            "endpointDescription": "agency email",
            "address_1": "300 Valley St NE",
            "city": "Abingdon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242102912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer A Jonkers, M.D.
• Amanda Lorien Jordan, D.C.
• Lindsay Suzanne Jordan, PT
• Erin Renae Jurich-Finney, PSYD
• Michael Justice, PHARMD
• K VA T Food Stores Inc (Food City Pharmacy)
• Bilal Abo Almakarim Kanawati
• Ghena Kasasbeh, MD
• Simon Jesus Kassis Hadid, MD
• Kathleen P Baldwin Inc

• Family Nurse Practitioner in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.