Individual provider Active NPI

Hermine Michelin Henry, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1184212235
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178773 Issued in VA
Practice address
4500 Plank Rd Ste 1024B
Fredericksburg, VA 22407-0120
Phone
(540) 527-5113
Fax
(540) 767-6333
NPI assigned
Jan 5, 2021
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 0024178773 VA Primary

Addresses

Primary practice location

4500 Plank Rd Ste 1024B
Fredericksburg, VA 22407-0120

Mailing address

4500 Plank Rd Ste 1024B
Fredericksburg, VA 22407-0120
Phone (540) 527-5113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210224002522 VA Practitioner - Nurse Practitioner 5395150338 Reassigns benefits to 2 organizations
I20260102000714 VA Practitioner - Nurse Practitioner 5395150338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4500 Plank Rd
Fredericksburg, VA 22407-0120
Phone (321) 276-7402

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tgvpc CurrentSince Jan 7, 2021 Accepting new patients
Abundance Primary Care LLC Family CurrentSince Sep 29, 2025 Accepting new patients
Alternative Wellness Clinic PastSince Jan 7, 2021 Accepting new patients

Locations

4500 Plank Rd
Ste 1024B
Fredericksburg, VA 22407
Phone (321) 276-7402

2 Pidgeon Hill Dr
Ste 280
Sterling, VA 20165
Phone (703) 404-1807

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 4

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1184212235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD STE 1024B",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-527-5113",
            "fax_number": "540-767-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD STE 1024B",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-527-5113",
            "fax_number": "540-767-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "HERMINE",
        "middle_name": "MICHELIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.