Individual provider Active NPI

Susanna P Agble, F. N.P. DNP

  • Family Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1295288389
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173653 Issued in VA
Practice address
422 Garrisonville Rd
Suite 101
Stafford, VA 22554-1573
Phone
(540) 657-9441
Fax
(540) 657-4366
NPI assigned
Jul 26, 2016
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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 0024173653 VA Primary

Addresses

Primary practice location

422 Garrisonville Rd
Suite 101
Stafford, VA 22554-1573

Mailing address

422 Garrisonville Rd
Suite 101
Stafford, VA 22554-1573
Phone (540) 657-9441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161005000973 VA Practitioner - Nurse Practitioner 1850689951 Reassigns benefits to 2 organizations
I20251107000145 DC Practitioner - Nurse Practitioner 1850689951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

1420 S Main St
Culpeper, VA 22701-3431
Phone (540) 825-2202

1701 N George Mason Dr
Arlington, VA 22205-3698

764 23Rd St S
VHC Physician Group Primary Care
Arlington, VA 22202-2420
Phone (703) 717-7000

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173653VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Oct 22, 2025 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Oct 6, 2025 Accepting new patients
Stafford Urgent Care, Inc. CurrentSince Jul 12, 2016 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Oct 22, 2025 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

422 Garrisonville Rd
Ste 111
Stafford, VA 22554
Phone (540) 657-9441

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1295288389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 GARRISONVILLE RD",
            "address_2": "SUITE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541573",
            "telephone_number": "540-657-9441",
            "fax_number": "540-657-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 GARRISONVILLE RD",
            "address_2": "SUITE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541573",
            "telephone_number": "540-657-9441",
            "fax_number": "540-657-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBLE",
        "first_name": "SUSANNA",
        "middle_name": "P",
        "credential": "F. N.P. DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.