NPIMap

Individual provider Active NPI

Mary Ann Pruitt, NP

  • Family Nurse Practitioner
  • Farmville, VA
National Provider Identifier
1275841199
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167714 Issued in VA
Practice address
833 Buffalo St Ste 200
Farmville, VA 23901-1111
Phone
(434) 392-8177
Fax
(434) 392-8287
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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 0024167714 VA Primary

Addresses

Primary practice location

833 Buffalo St Ste 200
Farmville, VA 23901-1111

Mailing address

833 Buffalo St Ste 200
Farmville, VA 23901-1111
Phone (434) 392-8177

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
I20170123000154 VA Practitioner - Nurse Practitioner 3779865076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

165 Legrande Ave
Charlotte Court House, VA 23923-3747
Phone (434) 542-5560

833 Buffalo St
Farmville, VA 23901-1111
Phone (434) 392-8177

PO Box
Suite 220
New Canton, VA 23123

Hospital & facility affiliations

  • Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090
  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Mar 23, 2020 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Mar 23, 2020 Accepting new patients
Crewe Medical Center Past Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients

Locations

833 Buffalo St
Ste 200
Farmville, VA 23901
Phone (434) 392-8177

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFEBA

Organizations & group practices 5

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 8

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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1275841199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 BUFFALO ST STE 200",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011111",
            "telephone_number": "434-392-8177",
            "fax_number": "434-392-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BUFFALO ST STE 200",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011111",
            "telephone_number": "434-392-8177",
            "fax_number": "434-392-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.