Individual provider Active NPI

Mary Pat Cotter, N.P.

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1225118334
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024164188 Issued in VA
Practice address
Virginia Emergency Associates Inc
5801 Bremo Road
Richmond, VA 23226
Phone
(804) 287-7066
Fax
(804) 673-9531
NPI assigned
Oct 16, 2006
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0024134188 VA
Nurse Practitioner 363L00000X 0024164188 VA Primary

Addresses

Primary practice location

Virginia Emergency Associates Inc
5801 Bremo Road
Richmond, VA 23226

Mailing address

14036 Shady Pointe CT
Midlothian, VA 23112-4185

Other practice location 1

7200 Glen Forest Dr Ste 106
Richmond, VA 23226-3768
Phone (804) 495-0053

Other identifiers 1

IdentifierTypeStateIssuer
0024164188OtherVIVIRGINIA STATE LICENSE

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
I20210226000471 VA Practitioner - Nurse Practitioner 8921258393 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024134188VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Mar 1, 2023 Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine Past Accepting new patients
Columbia Healthcare of Central Virginia Inc PastSince Apr 1, 2019 Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

6100 Harbourside Centre Loop
Midlothian, VA 23112
Phone (804) 639-7555

46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087

Interoperability endpoints

  • Direct secure messaging: marypat.cotter.1@14213.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1225118334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14036 SHADY POINTE CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIRGINIA EMERGENCY ASSOCIATES INC",
            "address_2": "5801 BREMO ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-287-7066",
            "fax_number": "804-673-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Glen Forest Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263768",
            "country_code": "US",
            "telephone_number": "804-495-0053",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "MARY PAT",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0024134188",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024164188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "0024164188",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.