Individual provider Active NPI

Ellen Joann Scarlett, FNP-C

  • Registered Nurse
  • Woodford, VA
National Provider Identifier
1164019352
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001180624 Issued in VA
Practice address
6243 Mudville Rd
Woodford, VA 22580-2125
Phone
(540) 538-8496
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001180624 VA Primary

Addresses

Primary practice location

6243 Mudville Rd
Woodford, VA 22580-2125

Mailing address

6243 Mudville Rd
Woodford, VA 22580-2125
Phone (540) 538-8496

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
I20220514000208 VA Practitioner - Nurse Practitioner 5193102077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637
Phone (540) 710-1086

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001180624VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Jan 16, 2023 Accepting new patients
Anew Divine Healthcare LLC CurrentSince Jan 1, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 16, 2023 Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Aug 22, 2011 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1340 Central Park Blvd
Ste 102
Fredericksburg, VA 22401
Phone (540) 741-1667

4535 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 374-3160

10620 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 374-3150

2300 Fall Hill Ave
Ste 215
Fredericksburg, VA 22401
Phone 54037450973125

4101 Dominion Blvd
Glen Allen, VA 23060
Phone (804) 747-5555

4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060
Phone (804) 747-5555

2913 River Rd W
Ste K
Goochland, VA 23063
Phone (804) 556-5130

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

1119 N Military Hwy
Ste 300
Norfolk, VA 23502
Phone (757) 224-3004

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

4101 Cheshire Station Plz
Ste 500
Woodbridge, VA 22193
Phone (571) 374-1234

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1164019352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 MUDVILLE RD",
            "city": "WOODFORD",
            "state": "VA",
            "postal_code": "225802125",
            "telephone_number": "540-538-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 MUDVILLE RD",
            "city": "WOODFORD",
            "state": "VA",
            "postal_code": "225802125",
            "telephone_number": "540-538-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLETT",
        "first_name": "ELLEN",
        "middle_name": "JOANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001180624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodford, VA

Sources for this page

Verify at the official NPI Registry.