NPIMap

Individual provider Active NPI

Erica Leanne Gillespie, FNP-C

  • Acute Care Nurse Practitioner
  • Forest, VA
National Provider Identifier
1205580198
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024183519 Issued in VA
Practice address
16890 Forest Rd
Forest, VA 24551-4059
Phone
(434) 200-7210
Fax
(434) 525-2138
NPI assigned
Feb 9, 2022
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024183519 VA Primary

Addresses

Primary practice location

16890 Forest Rd
Forest, VA 24551-4059

Mailing address

2329 Sunburst Rd
Evington, VA 24550-3517
Phone (434) 525-4419

Other names 1

  • Miss Erica Leanne Creasy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220328001747 VA Practitioner - Nurse Practitioner 2365837424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

16890 Forest Rd
Forest, VA 24551-4059
Phone (434) 200-7210

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024183519VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Apr 1, 2022 Accepting new patients
Centra Health Professional Services, LLC Past Accepting new patients

Locations

1280A Main St
Altavista, VA 24517
Phone (434) 309-1165

1613 Oakwood St
Ste 201
Bedford, VA 24523
Phone (540) 586-4723

412 Namozine St
Burkeville, VA 23922
Phone (434) 767-4822

414 Park Ave
Danville, VA 24541
Phone (434) 791-4892

65 Brickyard Dr
Dillwyn, VA 23936
Phone (434) 414-1021

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

16890 Forest Rd
Forest, VA 24551
Phone (434) 200-7210

291 McBride Ln
Gretna, VA 24557
Phone (434) 656-1274

312 King St
Keysville, VA 23947
Phone (434) 736-0292

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

4830 Rucker Rd
Moneta, VA 24121
Phone (540) 297-7181

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 7

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1205580198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 SUNBURST RD",
            "city": "EVINGTON",
            "state": "VA",
            "postal_code": "245503517",
            "telephone_number": "434-525-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16890 FOREST RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514059",
            "telephone_number": "434-200-7210",
            "fax_number": "434-525-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "ERICA",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024183519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "CREASY",
            "middle_name": "LEANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.