Individual provider Active NPI

Nicole Elizabeth Kiefer Wieghard, MD

  • Surgery Physician
  • Richmond, VA
National Provider Identifier
1225327232
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101264800 Issued in VA
Practice address
9109 Stony Point Dr
Richmond, VA 23235-1979
Phone
(804) 327-8001
Fax
(804) 327-8002
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101264800 VA Primary

Addresses

Primary practice location

9109 Stony Point Dr
Richmond, VA 23235-1979

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Other practice location 1

2035 Waterside Rd Ste 100
Prince George, VA 23875-1265
Phone (804) 957-6287

Other practice location 2

3470 Mayland Ct
Richmond, VA 23233-1468
Phone (804) 527-4540

Other practice location 3

1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 327-8001

Other practice location 4

417 N 11th St
Richmond, VA 23298-5002
Phone (804) 827-0045

Other practice location 5

8700 Stony Point Pkwy
Richmond, VA 23235-1962
Phone (804) 323-2001

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181217003033 VA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 9234376864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Sep 26, 2018 Accepting new patients

Locations

10528 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 891-3173

321 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 446-2654

2035 Waterside Rd
#100
Prince George, VA 23875
Phone (804) 957-6287

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

8700 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 323-2001

417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733

3470 Mayland Ct
Richmond, VA 23233
Phone (804) 527-4538

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

9105 Stony Point Dr
Richmond, VA 23235
Phone (804) 828-4409

9109 Stony Point Dr
Richmond, VA 23235
Phone (804) 827-8000

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

332 N Henry St
Williamsburg, VA 23185
Phone (757) 220-1246

Organizations & group practices 1

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 3

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1225327232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-327-8001",
            "fax_number": "804-327-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Waterside Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751265",
            "country_code": "US",
            "telephone_number": "804-957-6287",
            "fax_number": "804-957-9724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3470 Mayland Ct",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232331468",
            "country_code": "US",
            "telephone_number": "804-527-4540",
            "fax_number": "804-527-4487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-327-8001",
            "fax_number": "804-327-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985002",
            "country_code": "US",
            "telephone_number": "804-827-0045",
            "fax_number": "804-827-0670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351962",
            "country_code": "US",
            "telephone_number": "804-323-2001",
            "fax_number": "804-323-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEGHARD",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH KIEFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101264800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.