Mary Kathleen Engelken

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024175287 Issued in VA

Practice address

8266 Atlee Rd Ste 133
Mechanicsville, VA 23116-1805

Phone

(804) 285-8206

NPI assigned

Aug 15, 2017

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Gastrointestinal Specialists LLC

  • Gastroenterology Physician
  • Richmond, VA
  • NPI 1063516672
  Medicare reassignment NPD
• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  Medicare reassignment NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1104342872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 STAPLES MILL RD STE 133",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302918",
            "telephone_number": "804-285-8206",
            "fax_number": "804-497-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8266 ATLEE RD STE 133",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161805",
            "telephone_number": "804-285-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELKEN",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024175287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Counseling Group LLC
• Emerge Health, PLLC
• Emergency Training Systems
• Zachary Emerson, PT, DPT
• EMS Medical Center Inc
• Julie Anne Engler, PHARMD
• Shawnna Ann English, SPEECH PATHOLOGIST
• Bialines A Espinosa, M.D.
• Esther W Bucher
• Christine Dodd Evanko, BCBA, LBA

• Gerontology Nurse Practitioner in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.