Individual provider Active NPI

Anna Elizabeth Patterson

  • Family Nurse Practitioner
  • Broadway, VA
National Provider Identifier
1144076001
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024190054 Issued in VA
Practice address
13892 Timber Way
Broadway, VA 22815-3332
Phone
(540) 901-0888
NPI assigned
Apr 30, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024190054 VA Primary
Adult Medicine Physician 207QA0505X 0024190054 VA

Addresses

Primary practice location

13892 Timber Way
Broadway, VA 22815-3332

Mailing address

13892 Timber Way
Broadway, VA 22815-3332
Phone (540) 901-0888

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
I20240930001007 VA Practitioner - Nurse Practitioner 6406387646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

13892 Timber Way
Broadway, VA 22815-3332
Phone (540) 901-0800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024190054VAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Aug 1, 2024 Accepting new patients
RMH Medical Group LLC CurrentSince Aug 1, 2024 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

13892 Timber Way
Broadway, VA 22815
Phone (540) 901-0800

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

Organizations & group practices 3

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 2

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1144076001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13892 TIMBER WAY",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228153332",
            "telephone_number": "540-901-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13892 TIMBER WAY",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228153332",
            "telephone_number": "540-901-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190054",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0024190054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadway, VA

Sources for this page

Verify at the official NPI Registry.