Active NPI
Mary Anne McFerren, PA-C
- Medical Physician Assistant
- Richmond, VA
National Provider Identifier
1285778563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110001221
- Practice address
- 5855 Bremo Rd
Suite 506
Richmond, VA 23226-1930 - Phone
- (804) 285-3225
- Fax
- (804) 285-0360
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110001221 | VA | Primary |
Addresses
Primary practice location
5855 Bremo Rd
Suite 506
Richmond, VA 23226-1930
Mailing address
5855 Bremo Rd
Suite 506
Richmond, VA 23226-1930
Phone (804) 285-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06778 | Other | VA | GROUP PTAN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110001221 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Urgent Care LLC | Current | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Harness Health Pharmacy - Central Pharmacy Services LLC | Past | Accepting new patients |
Locations
9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702
Interoperability endpoints
- mmcferren1153618@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.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1265160501
-
- Infectious Disease Physician
- Richmond, VA
- NPI 1063772143
-
- Surgery Physician
- Richmond, VA
- NPI 1790939940
-
- Community/Retail Pharmacy
- Richmond, VA
- NPI 1619222767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1285778563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 BREMO RD",
"address_2": "SUITE 506",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261930",
"telephone_number": "804-285-3225",
"fax_number": "804-285-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 BREMO RD",
"address_2": "SUITE 506",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261930",
"telephone_number": "804-285-3225",
"fax_number": "804-285-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFERREN",
"first_name": "MARY",
"middle_name": "ANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110001221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06778",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.