Individual provider Active NPI

Emily B Hogan, NP

  • Family Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1144580804
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169988 Issued in VA
Practice address
10571 Telegraph Rd
Suite 210
Glen Allen, VA 23059-4652
Phone
(804) 266-7611
Fax
(804) 262-9249
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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 0024169988 VA Primary

Addresses

Primary practice location

10571 Telegraph Rd
Suite 210
Glen Allen, VA 23059-4652

Mailing address

10571 Telegraph Rd
Suite 210
Glen Allen, VA 23059-4652
Phone (804) 266-7611

Other identifiers 2

IdentifierTypeStateIssuer
C05698OtherVAGROUP PTAN
C06734OtherVAGROUP PTAN

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
I20120813000036 VA Practitioner - Nurse Practitioner 9436305190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Dermatology SpecialistsGroup PAC ID 5890736060, 13 clinicians

Practice addresses (Care Compare)

9816 Mayland Dr
Richmond, VA 23233-1457
Phone (804) 286-4927

Merit-based Incentive Payment System (MIPS)

Final score
90.81 of 100Reported as individual
Quality
81.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024169988VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Dermatology Specialists CurrentSince Jan 7, 2017 Accepting new patients
Harness Health Pharmacy - Central Pharmacy Services LLC Past Accepting new patients
Bon Secours-Virginia Healthsource Past Accepting new patients

Locations

9816 Mayland Dr
Richmond, VA 23233
Phone (804) 282-8510

9816 Mayland Dr
Ste 100
Richmond, VA 23233
Phone (804) 282-8510

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1144580804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10571 TELEGRAPH RD",
            "address_2": "SUITE 210",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594652",
            "telephone_number": "804-266-7611",
            "fax_number": "804-262-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10571 TELEGRAPH RD",
            "address_2": "SUITE 210",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594652",
            "telephone_number": "804-266-7611",
            "fax_number": "804-262-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "EMILY",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C05698",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06734",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.