Amy Lanelle Vondran Shaver, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024171588 Issued in VA

Practice address

1401 Johnston Willis Dr Ste 100
North Chesterfield, VA 23235-4730

Phone

(804) 330-7990

Fax

(804) 330-2701

NPI assigned

Mar 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Virginia Cancer Institute IncorporatedGroup PAC ID 8628048378, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Merit-based Incentive Payment System (MIPS)

Final score

74.62 of 100Reported as group

Quality

58.64

Promoting interoperability

81

Improvement activities

40

Cost

66.23

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.prod.flatiron.io/fhir/

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.

• Virginia Cancer Institute Incorporated

  • Hematology & Oncology Physician
  • Richmond, VA
  • NPI 1730130980
  Medicare reassignment Care Compare group NPD
• Virginia Cancer Institute Incorporated

  • Physiological Laboratory
  • Richmond, VA
  • NPI 1740093426
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chippenham & Johnston-Willis Hospitals Inc

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1134545239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263780",
            "telephone_number": "804-391-4171",
            "fax_number": "804-200-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR STE 100",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-330-7990",
            "fax_number": "804-330-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6130 Harbourside Centre Loop Ste 101",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122104",
            "country_code": "US",
            "telephone_number": "804-378-0394",
            "fax_number": "804-739-7649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8007 Discovery Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232298605",
            "country_code": "US",
            "telephone_number": "804-287-3000",
            "fax_number": "804-391-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "AMY",
        "middle_name": "LANELLE VONDRAN",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001225969",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171588",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024171588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domique Shannon, MSW, SUPERVISEE
• Erin Sharkey, DDS
• Sachit Sharma, M.D.
• Sharon Cason Card Consultation
• Gwendolyn Rochelle Sharpeson, LPN
• Caroline Elizabeth Shedd, DPT
• Frank E Shelp, MD
• Shawnta Shelton
• Sheridan Children'S Healthcare Services of Virginia, Inc
• Sarah Ward Sherman, RN. ACNP-BC

• Acute Care Nurse Practitioner in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.