NPIMap

Individual provider Active NPI

Carolyn A Moncure, NP

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1215903497
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024112312 Issued in VA
Practice address
9600 Patterson Ave
Richmond, VA 23229-6053
Phone
(804) 741-6200
Fax
(804) 741-6213
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024112312 VA Primary

Addresses

Primary practice location

9600 Patterson Ave
Richmond, VA 23229-6053

Mailing address

9600 Patterson Ave
Richmond, VA 23229-6053
Phone (804) 741-6200

Other identifiers 1

IdentifierTypeStateIssuer
C06695OtherVAGROUP PTAN

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
I20050729000638 VA Practitioner - Nurse Practitioner 2769410810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9600 Patterson Ave
Richmond, VA 23229-6053
Phone (804) 741-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jan 1, 2012 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Harness Health Pharmacy - Central Pharmacy Services LLC Past Accepting new patients

Locations

9600 Patterson Ave
Richmond, VA 23229
Phone (804) 285-6818

7229 Forest Ave
Ste 112
Richmond, VA 23226
Phone (804) 281-0275

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

Interoperability endpoints

  • Direct secure messaging: cmoncure1153908@direct.bsmhealth.org

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 6

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1215903497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296053",
            "telephone_number": "804-741-6200",
            "fax_number": "804-741-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296053",
            "telephone_number": "804-741-6200",
            "fax_number": "804-741-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCURE",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024112312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06695",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.