Individual provider Active NPI

Madison J Riley-Glenn, DNP, FNP-C

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1194551739
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191173 Issued in VA
Practice address
920 E High St Ste 102
Charlottesville, VA 22902-4850
Phone
(434) 290-1226
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 Medicine Physician 207Q00000X 0024191173 VA
Family Nurse Practitioner 363LF0000X 0024191173 VA Primary

Addresses

Primary practice location

920 E High St Ste 102
Charlottesville, VA 22902-4850

Mailing address

920 E High St Ste 102
Charlottesville, VA 22902-4850

Other practice location 1

920 E High St Ste 102
Charlottesville, VA 22902-4850
Phone (434) 290-1226

Other names 1

  • Madison Jo Riley-Glenn Other name

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
I20241217001921 VA Practitioner - Nurse Practitioner 3173050010 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
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

920 E High St
Suite 102
Charlottesville, VA 22902-4850
Phone (434) 290-1226

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024191173VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Oct 1, 2024 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

920 E High St
Ste 102
Charlottesville, VA 22902
Phone (434) 290-1226

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Organizations & group practices 2

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 1

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1194551739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E HIGH ST STE 102",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E HIGH ST STE 102",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024850",
            "telephone_number": "434-290-1226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 E High St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229024850",
            "country_code": "US",
            "telephone_number": "434-290-1226",
            "fax_number": "833-491-4964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY-GLENN",
        "first_name": "MADISON",
        "middle_name": "J",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024191173",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "RILEY-GLENN",
            "middle_name": "JO",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.