Individual provider Active NPI

Ellen Esther Wermter, NP

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1215452024
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174904 Issued in VA
Practice address
125 Riverbend Dr Ste 2
Charlottesville, VA 22911-8695
Phone
(434) 202-4199
Fax
(844) 927-4496
NPI assigned
Aug 14, 2017
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 0024174904 VA Primary

Addresses

Primary practice location

125 Riverbend Dr Ste 2
Charlottesville, VA 22911-8695

Mailing address

125 Riverbend Dr Ste 2
Charlottesville, VA 22911-8695
Phone (434) 202-4199

Other identifiers 1

IdentifierTypeStateIssuer
010067529MedicaidVA

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
I20171030000006 VA Practitioner - Nurse Practitioner 7012283518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 Riverbend Dr
Suite 2
Charlottesville, VA 22911-8695
Phone (434) 202-4199

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174904VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Sleep Medicine Family CurrentSince Jul 18, 2024 Accepting new patients
Charlottesville Neurology and Sleep Medicine PC CurrentSince Sep 18, 2017 Accepting new patients

Locations

125 Riverbend Dr
Ste 2
Charlottesville, VA 22911
Phone (434) 202-4199

1410 Rolkin Ct
Ste 101
Charlottesvle, VA 22911
Phone (434) 293-9149

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1215452024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RIVERBEND DR STE 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118695",
            "telephone_number": "434-202-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RIVERBEND DR STE 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118695",
            "telephone_number": "434-202-4199",
            "fax_number": "844-927-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERMTER",
        "first_name": "ELLEN",
        "middle_name": "ESTHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010067529",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.