NPIMap

Organization Active NPI

Pedsplus Urgent Care, LLC

Doing business as Centercare Urgent Care

  • Urgent Care Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1275087553
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
0101243632 Issued in VA
Legal business name
PEDSPLUS URGENT CARE, LLC
Doing business as
Centercare Urgent Care
Practice address
2565 Cowan Blvd
Fredericksburg, VA 22401-8440
Phone
(540) 289-2273
Fax
(540) 650-3737
NPI assigned
Aug 4, 2016
Last updated
Dec 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Mickelina Laurore, FNPNPI 1275908006
Title
Manager
Phone
(239) 691-5450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 0101243632 VA Primary

Addresses

Primary practice location

2565 Cowan Blvd
Fredericksburg, VA 22401-8440

Mailing address

1010 W Kensington Cir
Fredericksburg, VA 22401-8003
Phone (540) 289-2273

Other names 1

  • CENTERCARE URGENT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180130000641 VA Part B Supplier - Clinic/Group Practice 1355601949 Receives reassigned benefits from 8 practitioners
Practice locations: King George, VA; Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

6398 Village Center Dr
Bealeton, VA 22712

15521 Real Estate Ave
King George, VA 22485
Phone (540) 289-2273

15521 Real Estate Ave
Ste 200
King George, VA 22485
Phone (540) 663-3139

4207 Germanna Hwy
Ste E
Locust Grove, VA 22508
Phone (540) 726-5659

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1275087553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W KENSINGTON CIR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018003",
            "telephone_number": "540-289-2273",
            "fax_number": "540-650-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 COWAN BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018440",
            "telephone_number": "540-289-2273",
            "fax_number": "540-650-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDSPLUS URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "LAURORE",
        "authorized_official_first_name": "MICKELINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-691-5450",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "VA",
            "license": "0101243632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERCARE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.